Coding Specialist *REMOTE*

About the Role

*REMOTE*

To support the company by providing clinical documentation and diagnostic results through proper CPT and ICD-10-CM and HCPCS codes for billing.  Responsible for the Company Vision “To be the prominent urology practice with a reputation for delivering excellent and effective care in all urologic modalities. By providing full-service urology to the patients and communities we serve, there will be greater satisfaction as well as patient and physician loyalty which will allow continued success and growth.”

What You’ll Be Doing

• Proficient in assigning accurate medical codes for diagnoses, procedures, and evaluation and management services according to the appropriate classification system for outpatient and inpatient encounters
•  Maintain knowledge of anatomy, physiology, and medical terminology commensurate with the ability to correctly code diagnoses and services
• Review all clinical progress notes for accuracy and completeness; obtain any missing information from Providers and clinical staff members
• Identify all chargeable items within each note and ensure proper CPT/HCPCS codes for each item
• Correctly complete and submit CMS 1500 and UB04 claims daily for outpatient services as designated by CMS
• Accurately enter all necessary modifiers on CMS 1500 claims
• Review patient claims for demographic and coding accuracy and completeness; obtain and enter any missing demographic information
• Assist the billing specialists in verifying and correcting coding issues per insurance requests or claim denials
• Assist the Clinic Manager in the monthly financial closing process when necessary
• Verify all requested medical records prior to release
• Remediate Providers and clinical support staff
• Maintain active Certified Professional Coder certification adherent to the most current code set for both International Classification of Disease and Current Procedural Terminology
• Verify appropriate diagnostic and procedural coding through documentation review
• Review billing from third party laboratories for accuracy
• Adhere to coding guidelines and reimbursement reporting requirements
• Ensures correct sequence correct / most accurate ICD-9/ICD-10 codes are assigned to diagnosis and procedures
• Follow the Standards of Ethical Coding as set forth by the AAPC
• Provide ongoing education to client practices as it relates to identified issues with coding and billing
• Assist with claims corrections and denial resolution
• Receives and responds to calls and notifications regarding medical record issues and orders
• Reviews utilization of services and outcomes with administrators
• Perform internal chart audits for documentation and coding accuracy and review encounter forms for coding accuracy
• Willing to travel to other locations for business needs
• Maintains strictest confidentiality
• Performs related work as required

What We Expect from You

• Two years of experience Coding in a medical practice or in a health insurance organization
• High school diploma or equivalent
• Certified Professional Coder (CPC) or Certified Coding Specialist- Professional (CCS-P) Certification
• Excellent verbal and written communication skills
• Claims processing skills
• Electronic Medical Records Experience

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have thorough knowledge in computer information systems. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Other Duties

Please note this job description is not designed to cover or contain a comp