Full-Time Coder Specialist

• Analyzing medical records to identify services performed in order to convert documentation into CPT codes and appropriate diagnosis codes.
• Investigate front end scrub edits to ensure clean claims submission to prevent increased back-end coding denials.
• Independently file corrected claims with coding corrections to the insurance
• Liaising with providers and other parties to clarify information
• Research and answer Coder+ questions where appropriate and deliver instructions to the providers and practice staff.
• Abide by the standard of Ethical Coding practices set by AHIMA, AMA, CMS, etc.
• Assist with Salesforce case management requiring Coding Reviews
• Query the provider when there is documentation clarification preventing coding assignment
• Communicate to leadership identified trends and documentation opportunities
• Monitor and respond to email timely
• Follow guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
• Collaborate with Success Management on Check-in meetings for overall program success and client satisfaction
• Upholding patient privacy and adhering to regulations such as HPIAA
• Clean-up projects for escalated care centers
• Other duties as assigned

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