CODING SPECIALIST I
3.
8 Quick Apply Full-time 1 day ago Full Job Description Summary The Coding Specialist verifies billing information marked on the providers encounter form to the billing information in Electronic Medical Records (EMR), ensuring third party payer required diagnosis and modifier information is correct on the billing.
Posts information from the encounter form in Group Management System following the Charge Entry Policy and Procedures to ensure clean claim submission.
Essential Duties and Responsibilities Reviews medical records, determines appropriate services to be coded (ICD-10-CM, CPT, and/or HCPCS) for each encounter.
Reviews documentation for diagnosis coding specificity for Hierarchical Condition Category Coding.
Organizes work for accuracy and effectiveness in order to ensure compliance of proper billing and coding procedures of third party carriers and to ensure complete and accurate reimbursements.
Verifies procedure codes marked on the encounter form in EMR.
All charges will be posted prior to closing the month in Group Management System.
Work as a team to ensure all encounters are entered into Group Management in a timely manner and prior to the end of the month process.
Reconcile payments with the deposit log completed by the clinic.
Use hash totals to ensure all the Current Procedural Terminology (CPT) codes have been posted from the encounter form and balance to the Group Management audit journal.
Ensures required diagnosis, referring physician and modifiers are entered for clean claim submission.
Returns copies of questions, incomplete charge sheets and other problems to offices or physicians for resolution.
Follows up on problems weekly to ensure they are corrected and returned timely.
Communicates reoccurring problems to supervisor for resolution.
Follows Charge Entry Policy and Procedures, complies with new changes as necessary.
Researches, corrects and resubmits claims denied due to charge entry errors.
Other Compiles information and prepares reports.
Maintains records.
Participates in educational activities.
Regular and in-person attendance as scheduled and required to perform essential job functions.
Follows organizational policies and procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any other policies or procedures for the job function, department, location or clinic.
Performs other duties as assigned.
Direct Reports None Qualifications Knowledge of medical business office and coding procedures.
Skill in using computer, calculator, copy and fax machine.
Ability to examine documents for accuracy and completeness and prepare records in accordance with detailed instructions.
Education High school diploma or GED Experience One to three years of CPT and ICD-10 coding and billing experience preferred.
Certificates, Licenses, Registrations None Competencies Teamwork:
Maintains a positive working relationship with team members; acknowledges strengths and contributions of others; supports team goals and objectives.
Compassion:
Professional and respectful to patients, co-workers and others; remains calm when faced with challenging or difficult situations; manages and resolves conflict in a constructive manner.
Extra Effort:
Makes the best use of time during work hours; looks for opportunities to help others when assigned work is complete; goes above and beyond to ensure priorities are achieved.
Excellence:
Quality/Continuous Improvement:
Ensures accuracy and completeness of work performed; contributes ideas and methods for improvement; receptive to suggestions and new ideas; accepts constructive feedback and demonstrates improvement.
Job Knowledge/Technical Skill:
Proficient in required skills for duties assigned; able to navigate and resolve unexpected situations.
Productivity/Dependability:
Responsive to direction and instructions; demonstrates ability to set priorities; completes appropriate quantity of work within assigned time limits; follows through on assignments and notifies supervisor if unable to complete; exhibits good attendance record (excluding approved leave); gives appropriate notification of absence and schedules time off appropriately.
Working Conditions Work is performed in a medical office environment involving contact with patients, physicians, staff, insurance carriers and other business partners.
Occasional local travel between work sites and additional hours, including evening or weekend work, may be necessary.
Physical Requirements Not Required Occasional Frequent Continuous Walking X Standing X Sitting X Lifting up to 10 lbs X up to 25 lbs X up to 50 lbs X Assisted lifting X Climbing X Pulling X Pushing X Vision X Color Vision X Hearing X Speaking X Chemicals/PPE X Pathogens/PPE X Outside Work X Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
8 Quick Apply Full-time 1 day ago Full Job Description Summary The Coding Specialist verifies billing information marked on the providers encounter form to the billing information in Electronic Medical Records (EMR), ensuring third party payer required diagnosis and modifier information is correct on the billing.
Posts information from the encounter form in Group Management System following the Charge Entry Policy and Procedures to ensure clean claim submission.
Essential Duties and Responsibilities Reviews medical records, determines appropriate services to be coded (ICD-10-CM, CPT, and/or HCPCS) for each encounter.
Reviews documentation for diagnosis coding specificity for Hierarchical Condition Category Coding.
Organizes work for accuracy and effectiveness in order to ensure compliance of proper billing and coding procedures of third party carriers and to ensure complete and accurate reimbursements.
Verifies procedure codes marked on the encounter form in EMR.
All charges will be posted prior to closing the month in Group Management System.
Work as a team to ensure all encounters are entered into Group Management in a timely manner and prior to the end of the month process.
Reconcile payments with the deposit log completed by the clinic.
Use hash totals to ensure all the Current Procedural Terminology (CPT) codes have been posted from the encounter form and balance to the Group Management audit journal.
Ensures required diagnosis, referring physician and modifiers are entered for clean claim submission.
Returns copies of questions, incomplete charge sheets and other problems to offices or physicians for resolution.
Follows up on problems weekly to ensure they are corrected and returned timely.
Communicates reoccurring problems to supervisor for resolution.
Follows Charge Entry Policy and Procedures, complies with new changes as necessary.
Researches, corrects and resubmits claims denied due to charge entry errors.
Other Compiles information and prepares reports.
Maintains records.
Participates in educational activities.
Regular and in-person attendance as scheduled and required to perform essential job functions.
Follows organizational policies and procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any other policies or procedures for the job function, department, location or clinic.
Performs other duties as assigned.
Direct Reports None Qualifications Knowledge of medical business office and coding procedures.
Skill in using computer, calculator, copy and fax machine.
Ability to examine documents for accuracy and completeness and prepare records in accordance with detailed instructions.
Education High school diploma or GED Experience One to three years of CPT and ICD-10 coding and billing experience preferred.
Certificates, Licenses, Registrations None Competencies Teamwork:
Maintains a positive working relationship with team members; acknowledges strengths and contributions of others; supports team goals and objectives.
Compassion:
Professional and respectful to patients, co-workers and others; remains calm when faced with challenging or difficult situations; manages and resolves conflict in a constructive manner.
Extra Effort:
Makes the best use of time during work hours; looks for opportunities to help others when assigned work is complete; goes above and beyond to ensure priorities are achieved.
Excellence:
Quality/Continuous Improvement:
Ensures accuracy and completeness of work performed; contributes ideas and methods for improvement; receptive to suggestions and new ideas; accepts constructive feedback and demonstrates improvement.
Job Knowledge/Technical Skill:
Proficient in required skills for duties assigned; able to navigate and resolve unexpected situations.
Productivity/Dependability:
Responsive to direction and instructions; demonstrates ability to set priorities; completes appropriate quantity of work within assigned time limits; follows through on assignments and notifies supervisor if unable to complete; exhibits good attendance record (excluding approved leave); gives appropriate notification of absence and schedules time off appropriately.
Working Conditions Work is performed in a medical office environment involving contact with patients, physicians, staff, insurance carriers and other business partners.
Occasional local travel between work sites and additional hours, including evening or weekend work, may be necessary.
Physical Requirements Not Required Occasional Frequent Continuous Walking X Standing X Sitting X Lifting up to 10 lbs X up to 25 lbs X up to 50 lbs X Assisted lifting X Climbing X Pulling X Pushing X Vision X Color Vision X Hearing X Speaking X Chemicals/PPE X Pathogens/PPE X Outside Work X Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
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