Medical Coding Coordinator

OrthoIllinoisRockford, IL
Onsite

About The Position

The Medical Coding Coordinator is responsible for supervising the daily operations of the coding department, including monitoring staff work quality, efficiency, and productivity. This role acts as a point of contact for staff questions and concerns, participates in recruitment and training, analyzes work queues to identify trends, and assists with the implementation of new procedures. The coordinator also participates in audits, communicates changes to staff, and orders necessary supplies. Key duties include retrieving information from medical records for billing, reviewing daily charge capture, reviewing claims for follow-up, analyzing operative reports for accurate coding, entering codes into the practice management system, auditing provider dictation, and handling patient and internal coding issues. Ensuring compliance with medical coding policies and guidelines, including continuing education, is also a critical aspect of this role.

Requirements

  • High School Diploma, GED
  • Certified Professional Coder Certification (CPC)
  • A minimum of four years of experience medical coding and billing experience

Nice To Haves

  • Previous leadership experience preferred

Responsibilities

  • Acts as point of contact for staff questions and concerns, consults with manager to resolve conflicts and provide feedback and coaching to staff as needed
  • Participates in recruitment and training efforts, manages scheduling, timecards, and PTO requests
  • Analyzes work queue to monitor quality of coding and identifying denial and/or coding trends to determine department needs
  • Assists Billing Manager in implementation of new procedures and protocols to create efficiencies
  • Participates in external and internal audit projects.
  • Participates in communicating coding and organizational changes with staff members
  • Assists with ordering supplies and resources as needed, such as coding tools, books, publications, and webinars
  • Retrieves relevant information from medical records for appropriate billing using current CPT and ICD 10 code guidelines
  • Reviews daily charge capture for all assigned Providers/Ancillary Services
  • Reviews claims requiring follow-up appeal
  • Analyzes operative reports to assign correct CPT, ICD 10, HCPCS codes and modifier usage when capturing surgery charges
  • Enters codes/charges in practice management system
  • Audits provider dictation for compliance and accuracy
  • Handles incoming patient and internal issues regarding coding
  • Ensures compliance with medical coding policies and guidelines, including attending webinars, conferences, and maintaining CPC certificate through continuing education
  • Other duties as assigned
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