Coding Specialist

Essential Duties And Responsibilities

• Attend required hospital-wide orientations, meetings, and in-services
• Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care
• Develop and/or update master file of procedure and diagnosis codes
• Update organization fee schedules as necessary
• Work with other members of the billing and reimbursement staff in identifying and correcting insurance claims
• Assign proper CPT and ICD-10 codes from the patient medical records for proper claims submission
• Process patient Accounts Receivable, insurance carrier Explanation of Benefits (EOB), denials and documentation requests as needed
• Post insurance and patient payments including any pertinent correspondence into the computer system
• Perform internal audits of billing and reimbursement procedures
• Perform internal chart audits for billing and coding accuracy
• Cookordinate and cooperate with internal and/or external auditors during billing and organization audits
• Comply with all rules, regulations and procedures of the organization
• Process patient and insurance carrier telephone calls for account inquiries
• Perform any other job duties assigned by the Billing Department Manager or other Managerial Staff

Qualifications

• Minimum Required Education: Certified Professional Coder Certificate
• Prioritization and management of varying workload
• Excellent organizational, communication and interpersonal skills
• Ability to set priorities and manage varying workload
• Previous healthcare billing, coding and follow-up experience
• Ability to operate copier, FAX machine and computer