Position title
Certified Medical Coder and Billing/ Claims Specialist

The Medical Coding Specialist is responsible for assigning diagnostic and procedural codes (outpatient ancillary records and emergency department) to patient charts of low to moderate complexity, using: ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. They abide by the Standards of Ethical Coding as set forth by HIPAA. The Certified Medical Coder is also responsible for abstracting clinical and other data elements into the medical record.

  • Adhere to and maintain required levels of performance in both Coding accuracy and productivity
  • Identify appropriate assignment of CPT and ICD-10 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting
  • Abstract additional data elements during the Chart Review process when coding, as needed
  • Maintain a thorough understanding of assigned Client Coding specifics
  • Perform Coding duties as appropriate according to predetermined schedules
  • Review and maintain a record of charts coded, held, and/or missing
  • Provide documentation feedback to Providers, as needed, and queries physicians when appropriate
  • Proficient in outpatient coding guidelines
  • Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
  • Performs routine clinical molecular assays
  • Performs clinical validations with the routine molecular tests
  • Excellent communication skills
  • Has certification in Medical Coding
  • Minimum of 2 years relevant experience as a Certified Medical Coder on CPT and ICD 10 Coding
  • Experience in Medical Billing and Claims, processing new claims, resubmitting denied claims, and managing aging claims
  • Experience handling the specialty of Dermatology, Pediatric Therapy or Clinical experience is preferred.
  • Proficient in outpatient diagnosis coding guidelines
  • Functional knowledge of facility EMR, encoder and other support software
  • Ability to concentrate and accomplish tasks with explicit accuracy
  • Exceptional written and verbal communication
  • Excellent organizational skills and attention to detail
  • Good problem-solving ability
  • Passion for service
  • Analytical mindset and good problem-solving skills.
  • Good organizational skills
  • Attention to detail
  • Highlyorganized with a strong attention to detail
  • Comfortable in a fast-paced environment
  • Approachable, professional, and discrete, and personable
  • Ability to provide high-quality customer service and follow through on all assignments
  • Can work under pressure and with minimal supervision
  • Has initiative and can meet deadlines
  • Can start ASAP
Employment Type
Job Location
Date posted
February 21, 2024
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