Certified Medical Coding Specialist

Community Hospice & Palliative Care•Jacksonville, FL

About The Position

The Certified Coding Specialist I reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance reimbursement.

Requirements

Proficient CPT and ICD-10 coding skills
Medical Terminology; Anatomy and Physiology
Proficient in the use of Microsoft Office products especially Excel, Work and PowerPoint
Effective communication skills, both written and verbal
Excellent organization skills and the ability to multitask
Able to assimilate and apply new information quickly
Medical coding program or CPC preparatory training required
Minimum of 1 year of experience required
Certified Professional Coder (CPC) required
Current State of Florida driver’s license with driving record acceptable to Community Hospice of Northeast Florida.
Agency for Health Care Administration (AHCA), Level 2 Background Screen with status eligible required

Nice To Haves

Associates degree in medical coding, preferred

Responsibilities

Analyzes, abstracts, and translates provider documentation and assigns the correct modifier, evaluation and management (E/M) code utilizing the Current Procedural Terminology (CPT) code set.
Analyzes, abstracts, and translates provider documentation and/or the medical record to assign and sequences the correct diagnosis code(s) utilizing International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM).
Extracts Merit-based Incentive Payment System (MIPS) quality improvement measures from provider documentation.
Queries and follows up with providers when documentation in the record is inadequate, ambiguous, or unclear for coding or MIPS purposes.
Submits coded charges to the Charge Entry Specialist to be keyed into billing software.
May also be required to key charges in times of high volume or in the absence of the Charge Entry Specialist.
Serves as a knowledge resource for coding and reimbursement compliance questions from providers.
Meets defined productivity, regulatory and quality requirements.
Maintains current knowledge of coding regulations, established coding guidelines and third-party reimbursement policies related to diagnosis coding, E/M coding and procedure coding.
Assists management with special projects and performs other duties, as may be required to support the organization’s Medical Coding program and Compliance program.