Coding Specialist Sr. Medical Records
About The Position
Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes, ensuring accuracy and compliance with coding guidelines and regulations. The role analyzes medical records and uses coding books to assign codes for diagnoses, procedures, and other medical services or charges. It also reviews claim denials and appeals, corrects coding and billing errors, reconciles charges, researches codes for newly identified diagnoses and procedures, and maintains compliance with current guidelines and regulations. The Coding Specialist communicates with physicians, parents, and third-party payors to support billing and reimbursement accuracy; assists customers and staff with coding and billing questions; and conducts billing and coding audits. The position reports audit results and recommends quality improvements. The listed duties describe the general nature of the role and are not exhaustive.
Requirements
- One of the following certifications is required: RHIT, RHIA, CPC, CCS, CCS-P, or COC.
- Two years of coding experience.
- Three years of computer experience in a data processing capacity.
Responsibilities
- Analyze medical records and use coding books to accurately assign codes for diagnoses, procedures, medical services, and charges.
- Review claim denials and appeals to identify coding errors.
- Perform coding and billing corrections and charge reconciliations.
- Research newly identified diagnoses and procedures to determine code assignments.
- Maintain compliance with current coding guidelines and regulations.
- Communicate with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy.
- Assist customers and staff with billing and coding questions.
- Conduct billing and coding audits to verify accuracy and identify missed opportunities.
- Report audit results and recommend quality improvements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
