Medical Coding Specialist

Medical Coding Specialist - 992918

Fort Lauderdale-Davie, Florida

Full Time with Full Benefits

Exempt

No

1. Develops new coding policies, procedures, and fee slips and ensures physician are using appropriate codes.
2. Reviews samples of coded services for accuracy and completeness; meets with providers to make required changes.
3. Codes services of questionable or new items, and reviews proper coding with providers and staff
4. Reviews reimbursement from third-party payers to ensure payment through proper use of codes.
5. Notifies and trains providers and staff of significant changes in CPT and ICD codes.
6. Maintains clinical information system diagnosis code master files to include identifying inappropriate codes and informing medical staff.
7. Evaluates and develops new entries based on the latest coding publications.
8. Works with medical staff to resolve coding issues and associated problems.
9. Maintains fee schedules for Medicare, fee for service and health maintenance organizations.
10. Monitors Medicare reimbursements and maintains files. Assures information is available for review.
11. Participates in educational activities.
12. Performs other duties as assigned by supervisor.

1. Knowledge of clinic approved/international coding schema.
2. Knowledge of third party fee profiles and reimbursement requirements.
3. Advanced knowledge of computer coding applications.
4. Ability to identifying and resolving complex coding problems.
5. Skilled in exercising initiative, judgment, discretion and decision-making to achieve organizational objectives.
6. Ability to establish and maintain effective working relationships with patients, medical staff and public.
7. Ability to examine insurance documents for accuracy and completeness.
8. Ability to prepare insurance records in accordance with detailed instructions.

Certified Professional Coder (CPC) from AAPC or AHIMA

High School Diploma or Equivalent

High School diploma and minimum of (5) years of experience with coding and/or reimbursement activities, including experience of coding in health related practices.
OR
Associate's Degree and a minimum of (3) years of experience with coding and/or reimbursement activities, including experience of coding in health related practices.
OR
Bachelor's Degree and minimum one (1) year of experience with coding and/or reimbursement activities, including experience of coding in health related practices.

No

Yes

Nova Southeastern University is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodation when necessary.