We are currently seeking two (2) full-time Coding Specialists to join our practice located in Mesa Arizona.
JOB SUMMARY:
Under the supervision of the Billing Supervisor, the Coding Specialist will perform the initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
- Assists in entering data from impatient facesheets including but not limited to demographics, insurance plans, etc.
- Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
- Enters appropriate data into gPM by selecting the appropriate codes, diagnosis, modifiers, Anesthesiologist, CRNA, pathology, and provider information to complete the process.
- Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
- Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
- Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
- Responsible for ensuring the batch processes for all coded charges.
- Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
- Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for TGIA physicians’ and pathology services.
- Works in coordination with other members of the Central Billing Office as necessary.
- Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
- Responsible for scrubbing claims in order to submit compliant, truthful, and correct coding based on payer rules.
- Performs other related duties as required and assigned.
JOB KNOWLEDGE AND SKILLS:
The ideal candidate will possess the following skills and experience:
- High school diploma or GED completion is required.
- Professional Coding Certification is required.
- Experience working with EMR and in medical coding preferred.
- Gastroenterology coding experience preferred.
- Good working knowledge of medical terminology and anatomy.
- Knowledge of current third party billing and collection regulations and requirements.
- Good interpersonal skills and written and verbal communication skills.
- Ability to gather and interpret clinical data.
- Ability to utilize Microsoft Office and alpha numeric data entry.
- Strong attention to detail and decision making skills.
Job Type: Full-time
Pay: From $19.75 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Ability to commute/relocate:
- Mesa, AZ 85206: Reliably commute or planning to relocate before starting work (Required)
Education:
- High school or equivalent (Required)
Experience:
- Medical coding: 2 years (Required)
- Medical terminology: 2 years (Required)
- ICD-10: 2 years (Required)
Work Location: One location
Source: Indeed.com
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