Billing and Coding

Humanitary Medical Center Inc•Tampa, FL

10d•Onsite

About The Position

Humanitary Medical Center, Inc. is seeking an experienced Medical Coding Specialist to enter billing and coding information. They are responsible for ensuring that patient records have the correct codes and managing insurance billing. In addition, the job duties include contacting insurance companies and reviewing medical records.

Requirements

High School Diploma or GED required
Certified Professional Coder (CPC)
2 + years of relevant experience in managed care required
Proficient computer skills
Knowledge of data entry and transcription
Proficient in both English and Spanish

Nice To Haves

Ability to analyze malpractice claims by identifying issues, events, diagnoses, and procedures that resulted in the action
Ability to prepare summaries and assign the appropriate codes that apply
Ability to review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the synopsis as needed
Ability to make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashion
Ability to interact with claim staff, attorneys, and physicians regarding reports as-needed basis
Ability to understand medical terms
Ability to work in a face paced always changing environment
Ability to work on software applications systems and a willingness to learn
Ability to use a computer and electronic medical record
Ability to pay attention to the minute details of a project or task
Ability to adapt easily to changing conditions and work responsibilities
Ability to complete assigned tasks under stressful situations
Establishes and maintains effective working environment
Excellent communication skills, both verbal and written.
Excellent people skills while following medical centers policies and procedures.
Maintain a high level of integrity and confidentiality of patient medical information, team member and employer confidentiality. Comply with all HIPAA regulations.

Responsibilities

Assign code to diagnoses and procedures, using International Classification of Diseases, Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) code
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
Analyze issues where understanding situations or data, requires in-depth knowledge of organizational objectives
Retrieve and collect physician background info from various resources for reporting and relevant information from patient records.
Follow up with the provider on any documentation that is insufficient or unclear
Examining documents for missing information
Ensuring documents are grammatically correct and free from typing errors
Communicate with other clinical staff regarding documentation
Advising and training physicians and staff on medical coding
Complying with medical coding guidelines and policies per CMS and regulatory guidance
Review patient’s charts and documents for verification and accuracy
Develop, modify, and execute company policies and procedures that affect immediate operations and may also have organization-wide impact
Implement strategic policies, while selecting methods and evaluation criteria for obtaining accurate results
Performs other duties as assigned by the supervisor and/or manager