Job Description
Job Description
Description :
Medical Coding Specialist
Join the Winning Team!! A Medical Coding Specialist wanted for a busy medical practice. The coding specialist is responsible for ensuring accurate coding for vascular services, specifically to lower extremity veins. Candidates should have a positive attitude, strong work ethic, and be a team player.
Hours : Monday-Friday 7 : 30am - 4 : 30pm
Essential Functions :
- Review clinical documentation to ensure the appropriate coding (CPT codes, diagnosis codes, modifiers, etc)
- Ensure all codes meet federal, state, and insurance-specific guidelines
- Submit electronic claims to clearinghouses and insurance carriers daily
- Monitor client action worklist
- Communicate with payers via portals or phone to resolve outstanding payment issues
- Post insurance and patient payments accurately to the practice management system
- Maintain strict adherence to HIPAA regulations regarding patient data privacy
- Audit medical records regularly to ensure proper coding & documentation supports the service billed
- Attend meetings regularly
- Other duties as assigned
Successful Candidate Should Possess :
Experience : Minimum 1 year of experience in vascular - specific to lower extremity vein and arterial medical billing / codingCertification : CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) preferredKnowledge : Deep understanding of EOBs, RCM systems, and medical terminology specific to billing / codingSoftware : Proficiency preferred with Advanced MD, Availity, major insurance portalsAnalytical Thinker with the ability to spot patterns in denials to suggest process improvements with payer specific codingPersistence with a "detective" mindset to track down why a claim was rejected, find a resolution, and suggest an action plan to avoid future errorsAttention to Detail for high accuracy with little to no error in data entryLCD Review / Monitoring to proactively check the Medicare and Commercial Payer Coverages for new and / or revised policies to ensure complianceBackground screening and drug testing requiredRequirements :