Coding Specialist

Chesapeake Regional Healthcare•Chesapeake, VA

13h

About The Position

To use a knowledge of medical records coding rules, insurance and Federal, State and Municipal regulations and reimbursement rules. To have the ability to communicate clearly with personnel, patients, clients and insurance companies. To maintain and update coding and billing certification requirements.

Requirements

Previous healthcare billing, coding and follow-up experience
Ability to operate copier, FAX machine and computer
Must have excellent organizational, communication and interpersonal skills
Must have the ability to set priorities and manage varying workload
Certified Professional Coder Certificate required

Nice To Haves

Associates Degree in Healthcare

Responsibilities

Attend required hospital-wide orientations, meetings, and in-services
Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care
Develop and/or update master file of procedure and diagnosis codes
Update organization fee schedules as necessary
Work with other members of the billing and reimbursement staff in identifying and correcting insurance claims
Assign proper CPT and ICD-10 codes from the patient medical records for proper claims submission
Process patient Accounts Receivable, insurance carrier Explanation of Benefits (EOB), denials and documentation requests as needed
Post insurance and patient payments including any pertinent correspondence into the computer system
Perform internal audits of billing and reimbursement procedures
Perform internal chart audits for billing and coding accuracy
Coordinate and cooperate with internal and/or external auditors during billing and organization audits
Comply with all rules, regulations and procedures of the organization
Process patient and insurance carrier telephone calls for account inquiries
Perform any other job duties assigned by the Billing Department Manager or other Managerial Staff