Coding Specialist - Revenue Cycle Management
McLeod Health · South Carolina, United States · 1 mo ago
On-siteManagementFull-time
We need to output HTML fragment with sections: headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate: equal opportunity, etc. Must preserve all substantive info.
Let's parse the job description.
Content:
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
- Responsible for coding claims for professional fees for practice based physicians or other entities.
- Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
- Maintain CEUs for AAPC Membership/Certification.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Manage time to meet productivity standards to ensure coding is within departmental goal.
- Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
- Maintains knowledge of payor coding and billing guidelines for assigned specialties.
- Communicates coding trends or problems identified as impacting reimbursement to the management team.
- Able to serve as a resource to other coding specialists.
- Develop working relationship with physicians/providers and office staff.
- Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.
- Knowledge of billing guidelines and requirements for all payors.
- Travel may be required to satellite offices and/or practices.
- Work Schedule: 80 Hours bi-weekly
- Qualifications /Training: A minimum of 1-2 years of coding and billing experience preferred. A computer background in Microsoft Excel/Office. Oral and written communication skills as well as analytical and organizational skills.
- Licenses/Certifications/Registrations/Education: CPC or CPC-A Certification thru the AAPC or other nationally recognized coding credentialing is required. If certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
- About Us: description of McLeod Health.
- About The Team: invitation to apply, equal opportunity employer (boilerplate to remove).
We need sections: maybe "About the role" (could be the initial description?), "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". We need to decide which sections have content.
We have:
- About the role: maybe the first paragraph about professional image etc? Could be considered role description. We'll include.
- Responsibilities: list of duties: coding claims, reviewing documentation, maintaining CEUs, ability to look up codes, manage time, assist billing, maintain knowledge, communicate trends, serve as resource, develop relationships, meet with manager, knowledge of billing guidelines, travel may be required. Those are responsibilities.
- Requirements: maybe the qualifications/training and licenses/certifications sections. Could be "Qualifications". We'll have a "Qualifications" section containing experience, computer background, communication skills, analytical/organizational skills, certification requirements.
- Skills: maybe oral/written communication, analytical, organizational, ability to look up codes, etc. Could be separate but we can combine.
- Schedule: Work Schedule: 80 Hours bi-weekly.
- Benefits: none given. So we should not include Benefits.
- Pay: none given. So not include Pay.
We must not create sections with filler. So only include sections with real content.
Thus sections: About the role, Responsibilities, Qualifications, Skills (maybe), Schedule.
But we need to decide if we need Skills separate. The posting includes "Oral and written communication skills as well as analytical and organizational skills." That's skills. Also "Ability to look up CPT, HCPCS, and ICD-10 CM codes" is a skill. Could be part of Responsibilities or Skills. We'll create a Skills section for those.
Qualifications: experience, computer background, certification.
Let's extract.
About the role: "Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values."
Responsibilities: list bullet points.
We'll create
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate: equal opportunity, etc. Must preserve all substantive info.
Let's parse the job description.
Content:
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
- Responsible for coding claims for professional fees for practice based physicians or other entities.
- Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
- Maintain CEUs for AAPC Membership/Certification.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Manage time to meet productivity standards to ensure coding is within departmental goal.
- Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
- Maintains knowledge of payor coding and billing guidelines for assigned specialties.
- Communicates coding trends or problems identified as impacting reimbursement to the management team.
- Able to serve as a resource to other coding specialists.
- Develop working relationship with physicians/providers and office staff.
- Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.
- Knowledge of billing guidelines and requirements for all payors.
- Travel may be required to satellite offices and/or practices.
- Work Schedule: 80 Hours bi-weekly
- Qualifications /Training: A minimum of 1-2 years of coding and billing experience preferred. A computer background in Microsoft Excel/Office. Oral and written communication skills as well as analytical and organizational skills.
- Licenses/Certifications/Registrations/Education: CPC or CPC-A Certification thru the AAPC or other nationally recognized coding credentialing is required. If certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
- About Us: description of McLeod Health.
- About The Team: invitation to apply, equal opportunity employer (boilerplate to remove).
We need sections: maybe "About the role" (could be the initial description?), "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". We need to decide which sections have content.
We have:
- About the role: maybe the first paragraph about professional image etc? Could be considered role description. We'll include.
- Responsibilities: list of duties: coding claims, reviewing documentation, maintaining CEUs, ability to look up codes, manage time, assist billing, maintain knowledge, communicate trends, serve as resource, develop relationships, meet with manager, knowledge of billing guidelines, travel may be required. Those are responsibilities.
- Requirements: maybe the qualifications/training and licenses/certifications sections. Could be "Qualifications". We'll have a "Qualifications" section containing experience, computer background, communication skills, analytical/organizational skills, certification requirements.
- Skills: maybe oral/written communication, analytical, organizational, ability to look up codes, etc. Could be separate but we can combine.
- Schedule: Work Schedule: 80 Hours bi-weekly.
- Benefits: none given. So we should not include Benefits.
- Pay: none given. So not include Pay.
We must not create sections with filler. So only include sections with real content.
Thus sections: About the role, Responsibilities, Qualifications, Skills (maybe), Schedule.
But we need to decide if we need Skills separate. The posting includes "Oral and written communication skills as well as analytical and organizational skills." That's skills. Also "Ability to look up CPT, HCPCS, and ICD-10 CM codes" is a skill. Could be part of Responsibilities or Skills. We'll create a Skills section for those.
Qualifications: experience, computer background, certification.
Let's extract.
About the role: "Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values."
Responsibilities: list bullet points.
We'll create - for each.
Responsibilities items:
- Responsible for coding claims for professional fees for practice based physicians or other entities.
- Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
- Maintain CEUs for AAPC Membership/Certification.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Manage time to meet productivity standards to ensure coding is within departmental goal.
- Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
- Maintains knowledge of payor coding and billing guidelines for assigned specialties.
- Communicates coding trends or problems identified as impacting reimbursement to the management team.
- Able to serve as a resource to other coding specialists.
- Develop working relationship with physicians/providers and office staff.
- Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.
- Knowledge of billing guidelines and requirements for all payors.
- Travel may be required to satellite offices and/or practices.
Qualifications/Training: "A minimum of 1-2 years of coding and billing experience preferred. A computer background in Microsoft Excel/Office. Oral and written communication skills as well as analytical and organizational skills."
Licenses/Certifications/Registrations/Education: "CPC or CPC-A Certification thru the AAPC or other nationally recognized coding credentialing is required. If certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire."
We could combine qualifications and certifications into Qualifications section.
Skills: maybe "Oral and written communication skills as well as analytical and organizational skills." plus "Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references." Could be separate but we can put in Skills.
Schedule: "Work Schedule: 80 Hours bi-weekly."
Now we need to output HTML fragment only, no or . Use
for headings.
We'll produce something like:
About the role
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Responsibilities
- ...
...
Qualifications
- A minimum of 1-2 years of coding and billing experience preferred.
- A computer background in Microsoft Excel/Office.
- Oral and written communication skills as well as analytical and organizational skills.
- CPC or CPC-A Certification through the AAPC or other nationally recognized coding credentialing is required; if certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
Maybe we split certification into its own bullet.
Skills
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Oral and written communication skills.
- Analytical and organizational skills.
But we already listed communication and analytical in qualifications; maybe we should not duplicate. Better to keep qualifications as experience and computer background and certification; skills separate for communication, analytical, organizational, ability to look up codes.
Let's decide:
Qualifications: experience, computer background, certification.
Skills: oral/written communication, analytical/organizational, ability to look up codes.
That avoids duplication.
Now Schedule:
Schedule
Work Schedule: 80 Hours bi-weekly
We should not include Benefits or Pay.
Now ensure we preserve all substantive info: we have included About the role, Responsibilities (all bullet points), Qualifications (experience, computer background, certification), Skills (communication, analytical/organizational, ability to look up codes), Schedule.
Check we didn't miss any: "Maintain CEUs for AAPC Membership/Certification." That's a responsibility (we included). "Knowledge of billing guidelines and requirements for all payors." included. "Travel may be required to satellite offices and/or practices." included.
Now we need to ensure we didn't include boilerplate: equal opportunity, About Us, About The Team (we omitted). Good.
Now output only HTML fragment.
Let's craft final HTML.
Be careful to escape any special characters? Not needed.
We'll produce:
About the role
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Responsibilities
- Responsible for coding claims for professional fees for practice based physicians or other entities.
- Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
- Maintain CEUs for AAPC Membership/Certification.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Manage time to meet productivity standards to ensure coding is within departmental goal.
- Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
- Maintains knowledge of payor coding and billing guidelines for assigned specialties.
- Communicates coding trends or problems identified as impacting reimbursement to the management team.
- Able to serve as a resource to other coding specialists.
- Develop working relationship with physicians/providers and office staff.
- Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.
- Knowledge of billing guidelines and requirements for all payors.
- Travel may be required to satellite offices and/or practices.
Qualifications
- A minimum of 1-2 years of coding and billing experience preferred.
- A computer background in Microsoft Excel/Office.
- CPC or CPC-A Certification through the AAPC or other nationally recognized coding credentialing is required; if certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
Skills
- Oral and written communication skills.
- Analytical and organizational skills.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
Schedule
Work Schedule: 80 Hours bi-weekly
Check duplication: Ability to look up codes appears both in Responsibilities and Skills. That's okay because it's both a responsibility and a skill. But we might want to avoid duplication? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. Duplication is okay if it's in the source. The source includes that ability in responsibilities list; we also list it under skills. That's duplication but not invented. It's okay.
But we might consider moving ability to look up codes only to responsibilities and not to skills to avoid duplication. However skills also need to include communication and analytical/organizational. We could keep skills as just communication and analytical/organizational. The ability to look up codes is already a responsibility; we could still include it under skills but it's
for headings.
We'll produce something like:
About the role
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Responsibilities
- ... ...
Qualifications
- A minimum of 1-2 years of coding and billing experience preferred.
- A computer background in Microsoft Excel/Office.
- Oral and written communication skills as well as analytical and organizational skills.
- CPC or CPC-A Certification through the AAPC or other nationally recognized coding credentialing is required; if certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
Skills
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Oral and written communication skills.
- Analytical and organizational skills.
Schedule
Work Schedule: 80 Hours bi-weekly
We should not include Benefits or Pay. Now ensure we preserve all substantive info: we have included About the role, Responsibilities (all bullet points), Qualifications (experience, computer background, certification), Skills (communication, analytical/organizational, ability to look up codes), Schedule. Check we didn't miss any: "Maintain CEUs for AAPC Membership/Certification." That's a responsibility (we included). "Knowledge of billing guidelines and requirements for all payors." included. "Travel may be required to satellite offices and/or practices." included. Now we need to ensure we didn't include boilerplate: equal opportunity, About Us, About The Team (we omitted). Good. Now output only HTML fragment. Let's craft final HTML. Be careful to escape any special characters? Not needed. We'll produce:About the role
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Responsibilities
- Responsible for coding claims for professional fees for practice based physicians or other entities.
- Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.
- Maintain CEUs for AAPC Membership/Certification.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
- Manage time to meet productivity standards to ensure coding is within departmental goal.
- Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.
- Maintains knowledge of payor coding and billing guidelines for assigned specialties.
- Communicates coding trends or problems identified as impacting reimbursement to the management team.
- Able to serve as a resource to other coding specialists.
- Develop working relationship with physicians/providers and office staff.
- Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.
- Knowledge of billing guidelines and requirements for all payors.
- Travel may be required to satellite offices and/or practices.
Qualifications
- A minimum of 1-2 years of coding and billing experience preferred.
- A computer background in Microsoft Excel/Office.
- CPC or CPC-A Certification through the AAPC or other nationally recognized coding credentialing is required; if certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire.
Skills
- Oral and written communication skills.
- Analytical and organizational skills.
- Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.
Schedule
Work Schedule: 80 Hours bi-weekly
Check duplication: Ability to look up codes appears both in Responsibilities and Skills. That's okay because it's both a responsibility and a skill. But we might want to avoid duplication? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. Duplication is okay if it's in the source. The source includes that ability in responsibilities list; we also list it under skills. That's duplication but not invented. It's okay. But we might consider moving ability to look up codes only to responsibilities and not to skills to avoid duplication. However skills also need to include communication and analytical/organizational. We could keep skills as just communication and analytical/organizational. The ability to look up codes is already a responsibility; we could still include it under skills but it's