Coding Specialist - Revenue Cycle Management

McLeod Health

About The Position

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Responsible for coding claims for professional fees for practice based physicians or other entities. Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes. Maintain CEUs for AAPC Membership/Certification. Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references. Manage time to meet productivity standards to ensure coding is within departmental goal. Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services. Mains knowledge of payor coding and billing guidelines for assigned specialties. Communicates coding trends or problems identified as impacting reimbursement to the management team. Able to serve as a resource to other coding specialists. Develop working relationship with physicians/providers and office staff. Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles. Knowledge of billing guidelines and requirements for all payors. Travel may be required to satellite offices and/or practices. Work Schedule: 80 hours bi-weekly Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health. If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal opportunity employer.

Requirements

A minimum of 1-2 years of coding and billing experience preferred.
A computer background in Microsoft Excel/Office.
Oral and written communication skills as well as analytical and organizational skills.
CPC or CPC-A Certification thru the AAPC or other nationally recognized coding credentialing is required.
If certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
Minimum of a High School Diploma or equivalent from an accredited school is required

Responsibilities

Responsible for coding claims for professional fees for practice based physicians or other entities.
Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
Maintain CEUs for AAPC Membership/Certification.
Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
Manage time to meet productivity standards to ensure coding is within departmental goal.
Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
Maintains knowledge of payor coding and billing guidelines for assigned specialties.
Communicates coding trends or problems identified as impacting reimbursement to the management team.
Able to serve as a resource to other coding specialists.
Develop working relationship with physicians/providers and office staff.
Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.