CODING SPECIALIST

McKenzie Health System • Sandusky, MI

6h

About The Position

The Coding Specialist works under the supervision of the CBO Billing Manager and performs coding and abstracting of procedures and treatments associated with Healthcare Practices. The role analyzes documentation quantitatively and qualitatively according to licensing and accrediting agency requirements and accepts responsibility for an assigned insurance group or sector.

The specialist reviews patient account files for accuracy and completeness; reviews, researches, and follows up on rejected claims involving coding issues; responds to coding-related inquiries from healthcare practices and other customers; assists with coding reports; and conducts regular documentation audits. Other related duties and assigned special projects are also part of the role. This is a full-time, 40-hour-per-week, day-shift position; hours may be adjusted in response to workload demands, and low census may be utilized in accordance with hospital policy.

Requirements

• High school diploma or equivalent.
• Medical Terminology course.
• Obtain certification as a Certified Professional Coder (CPC) through AAPC or another approved certifying agency within six months of hire.
• Ability to comprehend verbal and written instructions and procedures, with accuracy in grammar, spelling, and punctuation.
• Knowledge of, or ability to learn to use, office equipment and systems including computers, internet, printers, software systems, and a multi-line phone system.
• Ability to maintain concentration despite interruptions and function under stressful situations.
• Strong interpersonal skills and effective communication with customers and hospital personnel.
• Good sight and hearing skills to handle inquiries and process claims.

Nice To Haves

• One to two years of ICD-10-CM and CPT-4 (HCPCS) coding experience.
• Experience with medical billing or insurance processing.
• Procedure and diagnostic coding experience.
• Anatomy and physiology course.

Responsibilities

• Code and abstract procedures and treatments associated with Healthcare Practices.
• Perform quantitative and qualitative analysis of documentation according to licensing and accrediting agency requirements.
• Accept responsibility for an assigned insurance group or sector.
• Review patient account files to ensure accuracy and completeness.
• Review, research, and follow up on rejected claims related to coding issues.
• Answer coding-related inquiries from healthcare practices and other customers.
• Assist in preparing coding reports.
• Perform regular documentation audits.
• Serve on department and hospital committees and contribute to the hospital system with a hospital-wide perspective.
• Perform other related duties and assigned special projects.

What This Job Offers

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