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Description
The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Association’s Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff. Position is on-site
· Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
· Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
· Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
· Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
· Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
· Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
· Educates and advises staff on proper code selection, documentation, procedures, and requirements.
· Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.
Requirements
Full Time
$66k-83k (estimate)
04/05/2024
06/04/2024
The job skills required for Medical Coding Specialist include CPT, Medical Coding, CPT Coding, Verbal Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Coding Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Coding Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Coding Specialist positions, which can be used as a reference in future career path planning. As a Medical Coding Specialist, it can be promoted into senior positions as a Medical Records Coding Technician that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Coding Specialist. You can explore the career advancement for a Medical Coding Specialist below and select your interested title to get hiring information.