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Medical Coding Specialist
Medical Coding SpecialistMedVein Management, LLC • San Antonio, TX, US
Medical Coding Specialist

Medical Coding Specialist

MedVein Management, LLC • San Antonio, TX, US
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  • [job_card.full_time]
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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 / coding
  • Certification : CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) preferred
  • Knowledge : Deep understanding of EOBs, RCM systems, and medical terminology specific to billing / coding
  • Software : Proficiency preferred with Advanced MD, Availity, major insurance portals
  • Analytical Thinker with the ability to spot patterns in denials to suggest process improvements with payer specific coding
  • Persistence with a "detective" mindset to track down why a claim was rejected, find a resolution, and suggest an action plan to avoid future errors
  • Attention to Detail for high accuracy with little to no error in data entry
  • LCD Review / Monitoring to proactively check the Medicare and Commercial Payer Coverages for new and / or revised policies to ensure compliance
  • Background screening and drug testing required
  • Requirements :

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