Medical Coding Specialist

Radiation Billing Solutions IncTyler, 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
  • General Radiation Oncology experience
  • Ability to lift/carry up to 25 pounds.
  • Ability to sit/stand for long periods of time.
  • Good manual dexterity with the ability to perform repetitive hand/wrist motions.
  • Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
  • Proficient in Microsoft Office Suite or related software.
  • 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.
  • Exceptional organizational skills and attention to detail.
  • Adaptability and willingness to remain flexible when changes occur.

Nice To Haves

  • Coding Certification (CCS, CPC) preferred

Responsibilities

  • Analyze, code, and abstract medical records of patients.
  • Communicate with client/facility staff and physicians as needed to address deficiencies in billing and documentation.
  • Handle multiple, simultaneous tasks effectively and efficiently.
  • Proficiently apply 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.
  • Encourage others’ success.
  • Anticipate problems and generate new ideas.
  • Pick up on problematic client trends quickly and address them efficiently, bringing in management as appropriate.
  • Bring at least one idea for a process improvement to the team quarterly.
  • Create financial value for our clients.
  • Interact with client staff and team members to ensure coding is completed in a timely and efficient manner.
  • Achieve coding goals in the same month 4 out of 6 rolling months.
  • Maintain a monthly average of 30 CPT per hour.
  • Maintain an average error rate of less than 2% from QA reviews.
  • Obtain a 90% approval rating from client satisfaction surveys.
  • Take ownership towards a solution.
  • Engage in activities that promote work-life balance.
  • Embody a positive approach.
  • Communicate with clients and other RBS divisions.
  • Actively engage in department meetings and group conversations.
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