Certified Coding Specialist

MedLink Georgia is a non-profit, community-based primary healthcare organization dedicated to providing high-quality, affordable care to the residents of Northeast Georgia. We offer a comprehensive range of medical services in a compassionate and patient-focused environment.

About the role

MedLink Georgia is seeking a detail-oriented and experienced Certified Coding Specialist (CCS) to join our Revenue Cycle team. The ideal candidate will have a thorough understanding of ICD-10-CM, CPT, and HCPCS coding systems, and will be responsible for ensuring accurate coding of diagnoses and procedures to support optimal reimbursement and compliance with federal regulations.

Responsibilities

• Review of electronic medical records initiated by a healthcare Provider.
• Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis and service provided.
• Perform prospective & retrospective chart reviews to confirm accuracy of codes assigned as supported by documentation. This will include International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS - all levels, and any other coding classification systems that may be required).
• Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
• Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
• Assist with/complete Accounts Receivable follow-up on outstanding claims for assigned area of focus.
• Other duties as assigned.

Requirements

• Working knowledge of Medicare, Medicaid and insurance billing procedures.
• Working knowledge of medical chart audits/review.
• Knowledge of State of Georgia collection laws.
• Proven organizational skills.
• Effective written and verbal communication skills.
• Effective analytical/computational skills.
• Extensive accounting software skills.
• Ability to work with minimal supervision.
• Ability to develop and maintain effective working relationships with co-workers, patients, peers, professional staff and management.

Qualifications

• High school diploma or equivalent General Educational Development (GED) certificate.
• AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required.
• 12 months coding/chart review or related experience.
• Experience in E&M & in-office procedure coding along with assigning ICD-10 codes strongly preferred.

Benefits

• Competitive salary.
• Health, dental, and vision insurance.
• Paid time off and holidays.
• 401(k) with employer match.