Address
Form of workOverview
Under the direct supervision of the Medical Coding Supervisor, the Coding Specialist is responsible for coordinating and participating in the coding process of pediatric surgery and Evaluation and Management services from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work and adherence to established coding procedures of ICD-CM (International Classification of Diseases) and CPT-4 (Current Procedural Terminology).
Responsibilities- Review all pertinent medical records for diagnosis and procedures performed and documented while maintaining strict adherence to correct coding and MEDNAX Compliance program guidelines.
- Timely and appropriate coding of Pediatric surgery and office services as required to meet production needs.
- Communicate with physicians and other practice staff regarding coding and billing questions (in-person, phone, and e-mail)
- Review documentation requirements and coding guidelines with physicians, advanced practice nurses and other staff as necessary.
- Communicate to Coding management any Claims Manager updates as needed.
- Review claim denials from Patient Accounts through the EEC process.
- Research, review, and provide clarification of third party payer queries
- Participate in audit, education and coding team meetings to discuss solutions to coding guidance
- Meet or exceed required departmental productivity standards on a consistent basis.
- Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
- Present a positive, professional appearance and convey a professional demeanor in the performance of assigned duties.
- Perform other job-related duties within the job scope as requested by Management of Coding.
- Embody the principles of the corporate Mission Statement and Philosophy at all times.
- Comply with departmental and company-wide policies and procedures.
Qualifications
Certified Professional Coder (CPC) or Certified Coding Specialist - Physician (CCS-P) designation required with current active status.
Employment Type: FULL_TIME
