Medical Coding Specialist

• Obtain charge capture data from the electronic medical records (EMR) and key this information into the patient management system daily for multiple assigned locations
• Review medical notes and records to identify proper coding of claims
• Assign and translate codes for different services and diagnosis
• Review physicians’ notes and charts for accuracy
• Maintain current knowledge of coding and keep current with medical compliance and reimbursement policies impacting claims payments
• Responsible for daily entering and organizing of codes from EMR into billing management software
• Familiar with ICD10 and CPT/HCPCS universal coding systems
• Obtain necessary clarification with clinical managers and nursing staff to ensure appropriate billing and charge capture
• Manage and track missing charge capture reports or billing information, ensuring timely entry of information prior to month end
• Monthly audit of assigned locations (10% of charts)
• Other audits as assigned
• Enter information into compliance log for evaluation by compliance officer and Director of Billing
• Work closely with other billing staff to ensure compliant medical billing

• Previous clinical or coding experience
• At least 2 years’ experience of medical billing in a Healthcare setting and CPC, required
• CEMC, CPMA, and CHONC certifications preferred
• Knowledge of CPT and ICD10 coding
• Knowledge of HIPAA and OSHA rules and regulations
• Knowledge of insurance fee schedules and contractual obligations
• Problem Solving
• Maintains confidentiality
• Balances team and individual responsibilities
• Displays willingness to make decisions
• Demonstrates accuracy and thoroughness
• looks for ways to improve and promote quality
• Observes safety and security procedures
• reports potentially unsafe conditions
• Ability to communicate effectively both written and verbally
• Ability to effectively present information and respond to questions from group of managers or peers
• Strong analytical and conceptual skills
• Ability to interpret a variety of instructions furnished in written, oral, or schedule form
• Basic computer skills
• Familiarity with billing applications and basic Microsoft Office and Windows applications

CEMC, CPMA, and CHONC certifications preferred