Medical Coding Specialist

About the role

Gryphon Healthcare is seeking a Medical Coding Specialist to join our team. This is a remote position (must reside in the United States).

Responsibilities

• Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS.
• Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures and/or modifiers.
• Ensures coding compliance with all relevant regulations and guidelines.
• Stays updated on changes in coding guidelines, regulations, and industry best practices.
• Maintains confidentiality and security of patient information.
• Strong attention to detail and accuracy in coding assignments. Must maintain 95% coding accuracy rate and maintains site designated productivity standards.
• Excellent analytical and problem-solving skills.
• Able to work independently and meet deadlines.
• Effective communication skills to collaborate with healthcare providers.

Requirements

• Minimum of 3+ years of experience as a medical coder in both Professional fee and Facility coding; preferably in Emergency Room Department.
• Experience in Evaluation and Management coding.
• Experience in coding injections & infusions, labs, radiology, & supplies.
• Experience using Electronic Medical Records Systems, EDI and commercial insurance company systems.
• Proficient in ICD-10 CM, CPT/HCPCS coding and modifiers and maintain 95% coding accuracy rate and productivity standards.
• Detail oriented, strong organizational skills, and the ability to prioritize workload and meet deadlines.
• Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality.
• Ability to work well in a team environment.

Qualifications

• Certification required: CPCO, CPC or CCSS.
• Strong understanding of billing criteria for appropriate diagnosis codes using ICD-10 CM and procedure codes using CPT and HCPCS.
• Strong understanding of anatomy and physiology and apply knowledge as it relates to coding compliance.
• Basic computer literacy that includes keyboarding skills, ability to utilize Microsoft 365 and the ability to navigate in a windows environment.