What are the responsibilities and job description for the Coding Specialist position at Gastromed, LLC?
JOB TITLE: Coding Specialist
REPORTS TO: Revenue Cycle Manager
FLSA STATUS: Non-Exempt
JOB SUMMARY:
In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, analyzes medical records and identifies documentation deficiencies, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB, Payments.
QUALIFICATIONS/EDUCATION:
High School Diploma or higher education required
Minimum 2 years of experience in medical billing and procedural coding
Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
Basic computer knowledge; MS Word and MS Excel, internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email
CERTIFICATIONS/LICENSES:
CPC Preferred
ABILITIES/SKILLS:
- In depth knowledge of CPT, ICD10 and HCPCS coding.
- Excellent communication, Customer Service and telephone skills.
- Strong organizational skills and ability to multi-task effectively.
- Must be able to work independently with minimal supervision.
- Able to respect and maintain patient confidentiality at all times. Functions with minimal direct supervision.
- Must be dependable and conduct him/herself in a professional manner.
- Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties.
- Must be able to follow policies and procedures.
SUPERVISORY RESPONSIBILITIES:
N/A
ESSENTIAL DUTIES/ RESPONSIBILITIES:
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Researches and analyzes coding data to maximize reimbursement.
- Process claims daily, check for errors, making sure that correct diagnosis and CPT codes are used.
- Review claims and determine if Auth or Referral is needed, process accordingly.
- Maintain the billing process within a 15 - day timeframe.
- Must be able to process between 80 to 100 claims per day and submit batch to clearinghouse daily.
- Review progress notes and operative reports before submitting claim.
- Review patient information to determine or identify claim denial causes.
- Submit weekly billing report to manager.
- Maintain accurate and detailed chart notes in the system.
- Perform any other duties as assigned.
Salary : $17 - $25