Full-Time Coding Specialist III

Job Summary:

Perform coding and related duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates professional service billings for selected clinical departments. Coordination of provider education and training off staff. Assist in the analysis, development and implementation of new professional service lines related to coding, billing and charge capture.

EXPERIENCE DESCRIPTION:

A minimum of 3 years of coding experience including minimum of 1 year performing CPT and ICD coding.

Reviewing potential drug diversion and understanding of controlled substance management preferred.

Understanding of medication and controlled substance laws at federal, state, and local level preferred.

Experience with trending and analyzing data preferred.

EDUCATION DESCRIPTION:

High School diploma or equivalent is required.

SPECIAL SKILLS DESCRIPTION:

Comprehensive knowledge of E&M (Evaluation and Management) CPT coding, ICD-10 CM coding, payer and governmental policies.

Familiarity with HMO, Medicare, Medicaid and commercial insurance guidelines and medical terminology.

Must possess good oral and written communication skills.

Must be capable of dealing effectively with physicians, department administrators and their support staff, hospital/clinic administrators and their support staff and other contacts.

Must have the ability to work independently.

Basic PC skills. Epic experience is preferred.