Professional Coding Specialist I

About the role

Reviews a patient's medical records after a visit or procedure to translate information into appropriate evaluation and management, diagnostic, and procedural codes that insurers use to process claims for the work performed by the provider.

Responsibilities

• Translate medical records into standardized codes for billing purposes.
• Ensure accuracy in coding to facilitate proper insurance claims processing.
• Maintain up-to-date knowledge of medical terminology, coding standards, and regulations.
• Collaborate with healthcare providers and administrative staff to resolve coding discrepancies.
• Adhere to hospital policies and government regulations while performing coding tasks.

Requirements

• Proficient knowledge in medical terminology and codes, hospital policies, and government regulations.
• Clear communication and active listening skills to interact with diverse staff and functions.
• Problem-solving skills for both straightforward and complex coding concerns.
• Conflict management skills to remain level-headed and positive during stressful situations.
• Attention to detail to accurately identify coding and billing errors.
• Organizational and time management skills to maintain workload and productivity.
• Ability to adapt to an ever-changing role with evolving responsibilities.
• Ability to collaborate with others and work as a team.
• Proactive in setting oneself up for success to ensure tasks are completed on time with minimal supervision.