Coding Specialist – Arizona Digestive Health – Mesa, AZ

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: