Humanitary Medical Center, Inc. is seeking an experienced Medical Coding Specialist to enter billing and coding information. They are responsible for ensuring that patient records have the correct codes and managing insurance billing. In addition, the job duties include contacting insurance companies and reviewing medical records. EXAMPLE OF DUTIES: - Assign code to diagnoses and procedures, using International Classification of Diseases, Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) code
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
- Analyze issues where understanding situations or data, requires in-depth knowledge of organizational objectives
- Retrieve and collect physician background info from various resources for reporting and relevant information from patient records.
- Follow up with the provider on any documentation that is insufficient or unclear
- Examining documents for missing information
- Ensuring documents are grammatically correct and free from typing errors
- Communicate with other clinical staff regarding documentation
- Advising and training physicians and staff on medical coding
- Complying with medical coding guidelines and policies per CMS and regulatory guidance
- Review patient’s charts and documents for verification and accuracy
- Develop, modify, and execute company policies and procedures that affect immediate operations and may also have organization-wide impact
- Implement strategic policies, while selecting methods and evaluation criteria for obtaining accurate results
- Performs other duties as assigned by the supervisor and/or manager
DESIRABLE KNOWLEDGE, ABILITIES AND SKILLS - Ability to analyze malpractice claims by identifying issues, events, diagnoses, and procedures that resulted in the action
- Ability to prepare summaries and assign the appropriate codes that apply
- Ability to review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the synopsis as needed
- Ability to make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashion
- Ability to interact with claim staff, attorneys, and physicians regarding reports as-needed basis
- Ability to understand medical terms
- Ability to work in a face paced always changing environment
- Ability to work on software applications systems and a willingness to learn
- Ability to use a computer and electronic medical record
- Ability to pay attention to the minute details of a project or task
- Ability to adapt easily to changing conditions and work responsibilities
- Ability to complete assigned tasks under stressful situations
- Establishes and maintains effective working environment
- Excellent communication skills, both verbal and written.
- Excellent people skills while following medical centers policies and procedures.
- Maintain a high level of integrity and confidentiality of patient medical information, team member and employer confidentiality. Comply with all HIPAA regulations.
MINIMUM TRAINING AND EXPERIENCE - High School Diploma or GED required
- Certified Professional Coder (CPC)
- 2 years of relevant experience in managed care required
- Proficient computer skills
- Knowledge of data entry and transcription
- Proficient in both English and Spanish
Humanitary Medical Center Inc. complies with all federal, state, and local laws prohibiting employment discrimination of any kind. Humanitary Medical Center Inc. is an at-will employer and can terminate its employment relationship at any time, with or without cause, and without notice. Benefits: - 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
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