Certified Coding Specialist- AZ- Clinic Finance

Midwestern University • Glendale, AZ

4d • Onsite

About The Position

The Certified Coding Specialist protects and recovers the clinic’s patient reimbursement by acting as a coding/billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts. This position will report to the Assistant Manager of Patient Accounts.

Requirements

• Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance.
• High school diploma or GED required.
• A minimum of 3-5 years of coding experience in a medical office setting and a current Certified Professional Coder (CPC) certification required.
• Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology required.
• Experience working with Medicare, Medicaid, Third party payers is also required.
• Expert in interpreting LCD and NCD coverage criteria.
• Knowledge of the revenue cycle, charge master, manual book coding/computer coding experience.
• Excellent interpersonal, communication and customer service skills are required.
• Strong analytical and problem solving skills.
• Excellent verbal and written communication skills are a must.
• Must be able to work independently and multi-task working on several projects at once.
• Computer proficiency in MS Office (Word, Excel, Outlook) is required.
• Experience using medical practice management software is required.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of organization.
• Ability apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Ability to deal with problems involving a few concrete variables in standardized situations.
• Ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent and to interpret bar graphs.

Nice To Haves

• Associate degree preferred.

Responsibilities

• Reviews coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions
• Review electronic health records (EHR) to determine what information is appropriate for coding purposes
• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E & M coding guidelines
• Train and educate finance staff on billing and coding
• Participate in clinic coding assessments/audits, both internal and with external vendors
• Participate in the development of coding policies and procedures as needed
• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required
• Research coding/billing guidelines for new specialties
• Work in conjunction with the Assistant Manager and Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
• Assist in implementing changes directed by regulatory agencies
• Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and participating in professional organizations
• Other duties may be assigned

Benefits

• We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long term disability and pet insurance.
• We offer flexible spending accounts including healthcare reimbursement and child/dependent care account.
• We offer a work life balance with competitive time off package including paid holiday’s, sick/flex days, personal days and vacation days.
• We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program.
• Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED