Billing and Coding Specialist

Singing River Health System•Pascagoula, MS

4d•Remote

About The Position

Position Overview: The Billing and Coding Specialist compiles all bills and diagnosis codes. They summarize the data for submission to the billing entity and verifies the existence of the documentation, which supports billing intentions on the patient chart. The Billing and Coding Specialist analyzes and interprets patient medical records to identify and determine amount and nature of billable services. The Billing and Coding Specialist assigns diagnosis-related groups (DRGs) and ambulatory payment classifications (APC’s); completes abstracts for patient data; and works with all medical records regarding coding diagnoses and procedures. They ensure the accuracy and completeness of assigned diagnosis and procedure codes and validates against the clinical documentation and claim data, establishing principal/first listed diagnosis and secondary diagnoses. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

Requirements

High school diploma or equivalent required.
Completed course work in medical terminology, anatomy, physiology, disease processes, ICD-9/10-Clinical Modification coding, and/or CPT coding preferred.
Certification by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) preferred
CPC: Certified Professional Coder
COC: Certified Outpatient Coder
CCP: Certified Professional Coder
Or other equivalent coding certification.
Once certified, employee must complete all requirements (including continuing education) to maintain certification.
Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.
A minimum of two (2) years’ experience in a medical records’ department, cash posting in banks or other related companies preferred; medical coding and knowledge of DRGs/APCs/ICD10 preferred.
Must possess superior customer service skills and professional etiquette.
Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.
Must have knowledge of anatomy, physiology and medical terminology; and have knowledge of DRGs/APC’s.

Nice To Haves

Completed course work in medical terminology, anatomy, physiology, disease processes, ICD-9/10-Clinical Modification coding, and/or CPT coding preferred.
Certification by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)
A minimum of two (2) years’ experience in a medical records’ department, cash posting in banks or other related companies preferred; medical coding and knowledge of DRGs/APCs/ICD10 preferred.
Experience with a code finder and medical terminology preferred.

Responsibilities

compiles all bills and diagnosis codes
summarize the data for submission to the billing entity
verifies the existence of the documentation, which supports billing intentions on the patient chart
analyzes and interprets patient medical records to identify and determine amount and nature of billable services
assigns diagnosis-related groups (DRGs) and ambulatory payment classifications (APC’s)
completes abstracts for patient data
works with all medical records regarding coding diagnoses and procedures
ensure the accuracy and completeness of assigned diagnosis and procedure codes and validates against the clinical documentation and claim data, establishing principal/first listed diagnosis and secondary diagnoses
all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees

Benefits

Singing River is both a mission-driven healthcare provider and one of the largest employers on the Mississippi Gulf Coast.
We offer best-of-industry benefits, scheduling options, and professional pathways for our employees.

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