Medical Coding Specialist

Gryphon Healthcare•Houston, TX

1d•Remote

About The Position

Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare providers nationwide. We pride ourselves on delivering results through accountability, transparency, and a hands-on approach, what we call “The Gryphon Difference.” Our team is collaborative, driven, and committed to supporting one another while delivering exceptional outcomes for our clients. The Certified Medical Coder will be responsible for analyzing medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS, for busy Emergency Room facilities and physician services. Review medical records for completeness, accuracy, and compliance with medical and legal guidelines and in accordance with coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS. Ensure coding of all relevant diagnoses, procedures and/or modifiers are accurately captured directly from the medical record to optimize reimbursement and minimize denials. Apply commercial insurance reimbursement principles to ensure proper submission of claims. Identify coding and billing errors, analyze, and investigate source of error to prevent future reoccurrence. Work effectively with physicians and staff to ensure accurate coding and to provide coding guidance as needed. Assist in educating providers on billing issues identified through on-going reviews of submitted claims in conjunction with the Coding Manager Continued Medical Coding Education to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation. Maintains confidentiality and security of patient data and medical records in compliance with HIPAA guidelines and regulations. Maintain 95% coding accuracy rate and productivity standards. Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality. Perform all other duties and tasks assigned by the management team.

Requirements

Certification required: CPCO, CPC or CCS
Strong understanding of billing criteria for appropriate diagnosis codes using ICD-10 CM and procedure codes using CPT and HCPCS
Strong understanding of anatomy and physiology and apply knowledge as it relates to coding compliance.
Basic computer literacy that includes keyboarding skills, ability to utilize Microsoft 365 and the ability to navigate in a windows environment.
Minimum of 3+ years of experience as a medical coder in both Professional fee and Facility coding; preferably in Emergency Room Department.
Experience in Evaluation and Management coding
Experience in coding injections & infusions, labs, radiology, & supplies.
Experience using Electronic Medical Records Systems, EDI and commercial insurance company systems.
Proficient in ICD-10 CM, CPT/HCPCS coding and modifiers and maintain 95% coding accuracy rate and productivity standards.
Detail oriented, strong organizational skills, and the ability to prioritize workload and meet deadlines.
Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality.
Must be able to work well in a team environment.

Responsibilities

Analyze medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS, for busy Emergency Room facilities and physician services.
Review medical records for completeness, accuracy, and compliance with medical and legal guidelines and in accordance with coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS.
Ensure coding of all relevant diagnoses, procedures and/or modifiers are accurately captured directly from the medical record to optimize reimbursement and minimize denials.
Apply commercial insurance reimbursement principles to ensure proper submission of claims.
Identify coding and billing errors, analyze, and investigate source of error to prevent future reoccurrence.
Work effectively with physicians and staff to ensure accurate coding and to provide coding guidance as needed.
Assist in educating providers on billing issues identified through on-going reviews of submitted claims in conjunction with the Coding Manager.
Continued Medical Coding Education to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation.
Maintain confidentiality and security of patient data and medical records in compliance with HIPAA guidelines and regulations.
Maintain 95% coding accuracy rate and productivity standards.
Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality.
Perform all other duties and tasks assigned by the management team.