Overview of the Position:
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.
Education and Experience:
- High School Diploma or GED required. Associate degree preferred.
- Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.
- Knowledge of insurance industry and medical terminology/anatomy required.
Required Skills / Abilities:
- Good oral and written skills.
- Detailed oriented with strong organizational skills.
- Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
- Demonstrates the ability to work in a high pressure environment
- Strong active listening skills, attention to detail, and decision-making skills are required
- Pleasant, friendly attitude with the ability to adapt to change is essential
- Superior problem- solving abilities is required
- Ability to collaborate with all departments
- Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
- Possess excellent customer service skills and be well organized.
- Ability to communicate effectively utilizing both oral and written means.
Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
- Must be comfortable taking direction from Leadership
Supervisory Responsibilities:
Essential Job Functions:
These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers.
- Review assigned charts for correct ICD10 and CPT coding.
- Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
- Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
- Must maintain coding credentials thru AAPC.
- Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
- Perform other assigned duties.
Position Category:
Certified Coding Specialist I
- Candidate has no previous medical billing or insurance industry experience
- Candidate has no previous coding experience
Certified Coding Specialist II
- Candidate has less than 5 years of medical billing or insurance industry experience and/or
- Candidate has less than 5 years of medical coding experience
Certified Coding Specialist III
- Candidate has more than 5 years of medical billing or insurance industry experience and/or
- Candidate has more than 5 years of medical coding experience
Physical Requirements:
Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.