Coding Specialist- Corporate Coding Department

Job Type:

Regular

Scheduled Hours:

40

Job Summary:

Reports to Administrator of Coding and Education, the Coding Specialist is primarily responsible for correct coding and entering the charges of various specialties.

Job Description:

Job Title: Coding Specialist I

PRIMARY PURPOSE:  Reports to Administrator of Coding and Education, the Coding Specialist is primarily responsible for correct coding and entering the charges of various specialties.

BENEFITS:

• Paid Time Off
• No nights, holidays, weekends
• Medical, Dental, and Vision
• 403b with Match
• Opportunity for Career Growth

DUTIES & RESPONSIBITIES:

• Comply with all applicable laws and regulations.
• Provide information and resolve issues from Follow-up, Customer Services, Charge Editing and Auditing. 
• Maintain a high level of compliance with billing processes.
•  Maintain a high level of patient and business confidentiality. 
• Facilitate communication between CBO and office physicians and employees. 
• Promote cooperative working relations between CBO and managers, associates and physicians. 
• Communicate in an effective and professional manner with physicians, support associates, co-workers, and management.
•  Answer incoming calls in a professional and courteous manner. Return all voicemail messages within one (1) business day.
• Update patient demographic and profile information provided by patient, office, or insurance company.
•  File claims to various insurance companies.
• Review documentation and assign CPT, ICD-10, and HCPCS codes of all claims including office, hospital, and all other facilities. 
•  Adhere to company and system processes.
• Other duties as assigned.
• Responsible for Working Claim Edit (Reg) WQ.
• Responsible for Working Errors/Edits. 

REQUIRED SKILLS AND KNOWLEDGE:

• Ability to manage and prioritize multiple tasks, knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills. Must have good organizational skills and work professionally with providers, hospital administration, patients, employees, and management. 
• Knowledge of medical insurance, managed care plans, CPT, ICD10, and HCPCS codes.
• Knowledge of computer systems and applications.
•  Skills in establishing and maintaining effective working relationships.
• Effective communication with providers, patients/family members, insurance company representatives, co-workers and management.
• Ability to work independently and perform job duties with minimal direction.
• Knowledge of Microsoft Word/Excel.
• Detail oriented.
•  Ability to maintain strict confidentiality, per corporate policies.
• Detailed and thorough work on special projects as assigned.
• Demonstrated ability to work successfully in a team-based decision-making culture.
• Demonstrated ability to work independently resulting in effective outcomes and on-time performance.
• Experience in planning and coordinating multi-disciplinary communications strategies, strategic initiatives, and events. 
• Must respond and follow through to requests from customers promptly.
• Must work carefully and precisely with attention to detail.
• Must utilize resources wisely.
• Performs duties willingly and with initiative. Shares necessary information so co-workers can do the same. Cooperates with other departments and work groups.

EDUCATION: H.S. Diploma/GED.

LICENSES AND CERTIFICATIONS: CPC required within 7 months of accepting position.

YEARS OF EXPERIENCE: 2 years’ experience in a medical billing office.

FLSA Status:

Non-Exempt

Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.