Physician Coding Specialist I Remote

University Hospitals•Shaker Heights, OH

3d•Remote

About The Position

Under the direction of the Revenue Cycle Supervisor - Coding, the Physician Coding Specialist I monitors and analyzes unresolved third-party accounts for multi-specialty group practices. The specialist initiates contact and negotiates appropriate resolutions to help ensure timely payment of outstanding claims. The role includes reviewing and correcting coding edits and denials and may involve coding ICD-10 from written documentation. It also requires maintaining patient and physician confidentiality and securely handling Protected Health Information (PHI).

Requirements

High school equivalent or GED.
Required certification or credential: CPC, CPC-A, CPC-H, or CPC-P; CCS, RCC, or ROCC; RHIT; or RHIA.
Excellent interpersonal skills to work in partnership with others and influence and gain cooperation.
Computer literacy and experience with basic software packages.
Basic knowledge of ICD-9 and CPT coding.
Ability to recognize, evaluate, and solve problems.
Strong verbal and written communication skills.
Extensive knowledge of the claims development process and third-party insurance programs.
Ability to handle varied tasks with speed, attention to detail, and accuracy.

Nice To Haves

At least 1 year of medical billing experience in a multi-specialty practice.

Responsibilities

Analyze outstanding insurance accounts daily and within established time frames; initiate appropriate telephone or written follow-up.
Communicate with payors and internal departments to obtain information affecting the resolution of current and future claims.
Research and respond promptly and professionally to telephone inquiries from the customer service department, in accordance with departmental guidelines.
Review and correct coding edits and denials.
Code ICD-10 from written documentation when needed.
Meet minimum department productivity and quality standards.
Maintain patient and physician confidentiality and communicate and interact professionally with patients and physicians.
Provide information and feedback to UHPS personnel, follow departmental guidelines, and recommend additional research to other CBO departments.
Identify trends in insurance-related issues and report findings to the Team Lead.
Model professionalism through appropriate conduct and demeanor.
Interpret written correspondence and resolve problems or forward them to another department for prompt resolution.
Communicate by telephone, form letters, or internal correspondence to resolve patient inquiries.
Handle multiple tasks simultaneously.
Use knowledge of insurance products and billing requirements to resolve billing statement discrepancies.
Perform other assigned duties and comply with applicable policies and standards.
Safely and securely maintain patients’ PHI and follow relevant training, code of conduct, policies, and procedures.
Travel as required; listed travel requirement is 10%25.