What are the responsibilities and job description for the Revenue Cycle Specialist II position at Clearwater Cardiovascular Consultants?
Job Description
CCC is seeking a self-motivated, detail-oriented individual for this high-volume position. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services.
Responsibilities include, but are not limited to:
- Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing.
- Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA.
- Reviews provider medical records to identify opportunities for improvement in coding and documentation.
- Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues.
- Assists with coding questions and research guidelines.
- Assists with answering telephone inquiries regarding billing and coding and provides information as requested.
Requirements:
- Associates degree preferred, high school diploma required and relevant experience in healthcare field.
- Certified Professional Coder (CPC) through AAPC.
- Minimum of 3 years coding experience, preferably in Cardiology.
- Awareness and compliance with HIPAA (Health Insurance Portability and Accountability Act) and related healthcare privacy regulations.
- Excellent communication and customer service skills. Strong attention to detail and excellent organizational skills.
