Job Details
Job Location
Arkansas Heart Hospital Westlake building - Little Rock, AR
Job Shift
Day
Description
Position Summary
The Certified Procedural Coding Specialist will read and interpret health record documentation to identify all diagnoses and procedures that affect the current inpatient/outpatient encounter visit; assess the adequacy of health record documentation; apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.
Work Schedule
Monday - Friday, 8-5 or as determined by supervisor
Primary Duties
Essential Functions:

• Codes and abstracts all diagnoses and procedures from physicians' dictation and according to ICD-10-CM and CPT-4/HCPCS.
• Processes claims for secondary insurance companies and conducts research on any claims denied by insurance companies.
• Initiates physician interaction when ambiguous or conflicting information is in the medical record.
• Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment
• To assist medical providers in using the appropriate ICD-10 code, check insurance status, bill insurance appropriately, fight denials, and reduce A/R.
• Correctly performs routine billing and coding procedures in a timely and professional manner
• Meets assigned deadlines and provide advance warning of problems
• Works independently under the billing supervisor
• Acts as a resource within the clinic to other staff members and patients
  • Initiates physician interaction when ambiguous or conflicting information is in the medical record.
  • Exhibits knowledge and aptitude regarding coding software and resources for accurate code assignment.
  • Provides backup to other members of department as needed.
  • Other assigned duties as directed by supervisor based on demonstrated competency

Qualifications
Qualifications/Specifications
• Education: High School diploma or equivalent required.
• Licensure/Certification: Certified Professional Coder (CPC) certification required or Certification required within 12 months of hire date.
• Experience: Minimum of one year experience in clinic or physician practice medical billing/insurance, medical records and/or coding using ICD-10 and CPT coding systems required.