Medical Coding Specialist

Radiation Billing SolutionsTyler, TX
Onsite

About The Position

The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client/facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.

Requirements

  • High School Diploma or equivalent
  • 1-3 years of coding experience in the field or in a related area required, oncology preferred
  • Coding Certification (CCS, CPC) preferred
  • General Radiation Oncology experience

Nice To Haves

  • Oncology preferred
  • Coding Certification (CCS, CPC) preferred
  • General Radiation Oncology experience

Responsibilities

  • Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience.
  • Maintain a minimum coding productivity of 30 CPT units per hour.
  • Ensure an average error rate of less than 2%.
  • Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements.
  • Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans.
  • Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for Technical/Professional/Global and Freestanding/HOPPS coding.
  • Review daily client activities, ensuring accuracy and validity of CPT and ICD-10 codes compared to chart documentation.
  • Identify and report discrepancies or deficiencies, making corrections as per client protocols.
  • Enter charges into the client’s billing system, if applicable.
  • Communicate coding discrepancies and documentation deficiencies to the client daily or weekly, based on their preferred communication method.
  • Participate in required client meetings and build collaborative relationships to integrate as part of the team.
  • A servant-minded approach to assisting patients, clients, colleagues, and management.
  • Self-motivated with the ability to solve problems.
  • Reliable and extremely trustworthy.
  • Ability to maintain confidential and meticulous records.
  • Excellent verbal and written communication skills.
  • Proficient in Microsoft Office Suite or related software.
  • Exceptional organizational skills and attention to detail.
  • Adaptability and willingness to remain flexible when changes occur.
  • Exhibit ENCORE values.
  • Encourage others’ success.
  • Bring at least one idea for a process improvement to the team quarterly.
  • Interact with client staff and team members to ensure coding is completed in a timely and efficient manner.
  • Achieving Coding goals in the same month 4 out of 6 rolling months.
  • Monthly average of 30 CPT per hour.
  • Maintain an average error rate of less than 2% from QA reviews.
  • Obtain 90% approval rating from client satisfaction surveys obtained.
  • Embody a positive approach.
  • Communication with clients and other RBS divisions.
  • Actively engage in department meetings and group conversations.
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