Coder
About the role
Description Coding Specialist is a nationally certified professional coder who educates and supports Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. Coders will conduct random chart audits and provide direct feedback to providers. Coders will be responsible for investigating and answering provider coding questions. Coders will review various data/reports and provide additional feedback. Coders will routinely visit Providence Medical Groups (PMG) clinics and attend clinical meetings. Coders will stay current with annual updates to CPT and ICD-10 and HCPCS codes.
Responsibilities
- Educate and support Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations.
- Conduct random chart audits and provide direct feedback to providers.
- Investigate and answer provider coding questions.
- Review various data/reports and provide additional feedback.
- Routinely visit Providence Medical Groups (PMG) clinics and attend clinical meetings.
- Stay current with annual updates to CPT and ICD-10 and HCPCS codes.
Requirements
- Certification from American Academy of Professional Coders
- Certification from American Health Information Management Association
- 2 years Experience in medical insurance reimbursement, medical billing and coding related to charge review and work RVU’s.
- Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.
Qualifications
Required Qualifications Upon hire:
- Certification from American Academy of Professional Coders
- Certification from American Health Information Management Association
- 2 years Experience in medical insurance reimbursement, medical billing and coding related to charge review and work RVU’s.
- Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.
Skills
Not specified
Benefits
Not specified
Pay
The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Schedule
Full time