Medical Coding Specialist

As a Medical Coding Specialist, you would be crucial to our mission because you are responsible for auditing billing claims and codes to ensure maximum reimbursement. On any given day, you could review patient encounters per day to ensure proper medical coding for each claim. If you value respect, optimism, compassion, innovation, and top-notch patient care, you have found your home.

Be a part of our family and contribute to your community in a real and tangible way. Apply now to be a part of something fantastic!

What would you do as a Medical Coding Specialist?

The Medical Coding Specialist is responsible for auditing billing claims and codes to ensure maximum reimbursement for medical visits and procedures from individuals and insurance companies in a manner that places emphasis on quality patient experience. You can expect to regularly:

• Review patient encounters per day to ensure proper medical coding for each claim;
• Verify correct CPT and ICD-10 codes were selected according to the visit or procedure completed;
• Document work processes, changes, or corrections made in charts and claims;
• Obtain clarification from clinical staff to ensure proper medical coding as needed;
• Update insurance and demographics information as needed;
• Process a minimum of 200 patient encounters daily with an average error rate at or below 10%;
• Perform audits for insurance denials to ensure proper billing;
• Maintain same day charges.
• Surgical coders’ responsibilities may include:
• Communicate with vendors on implants used;
• Utilize inventory management to send purchase orders on implants used;
• Enter charges into practice management software.

Requirements

• Cerification/Education
• High School Diploma/GED
• Knowlege of:
• ICD-10 and CPT codes as applied to patient charts and claims
• Experience:
• One year of experience performing customer service duties;
• Communicating effectively and professionally with various levels of employees, outside entities and customers;
• Deescalating tense or sensitive conversations with customers/clients/etc.
• Reviewing work and checking for error to ensure accuracy.
  

Preferred Qualifications - How can you set yourself apart from other applicants?

• Associate's degree in Health Information Management;
• Experience reviewing and correcting patient billing statements or claims.

Work Environment

This position operates in a professional office environment.

Physical: The noise level is usually moderate.

Benefits

Check out our home page by clicking on “View all jobs” to explore the many benefits ROC provides to employees! This position is eligible for full-time benefits.