Company
CodingSpecialistSr.MedicalRecords
Neural analysis suggests this role is
optimal for Mid candidates.
“Coding Specialist Sr. Medical Records. Skills: Medical records analysis, Coding, Billing. Analyze medical records. Assign codes for diagnoses”
What You'll Achieve.
Ensure accuracy and compliance; Ensure billing and reimbursement accuracy; Ensure accuracy and identify missed opportunities
Industry & Context.
Problem solving
Ability to multi-task within a demanding environment, Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking, Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Repetitive hand/arm use, Seeing – Far/near, Sitting
What They're Looking For.
Must Have
Two years of coding experience, Three years computer experience in a data processing capacity, RHIT, RHIA, CPC, CCS, CCS-P, or COC, required
What You'll Do.
Analyze medical records
Assign codes for diagnoses
Review claims denials
Perform coding and billing corrections
Research new diagnoses and procedures
Maintain compliance with coding guidelines
Communicate with physicians
Assist customers and staff
Conduct billing and coding audits
How You'll Work.
Communication Scope
Communicate with physicians, parents, and third-party payors; Assists customers and staff with billing and coding questions
Full Job Description
**Overview:** **Job Description Summary:** Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. **Job Description:** **Essential Functions:** * Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges. * Reviews claims denials and appeals to identify coding errors. Performs coding and billing corrections and charge reconciliations. * Researches newly identified diagnoses and procedures for code assignments. * Maintains compliance with current coding guidelines and regulations. * Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding questions. * Conducts billing and coding audits to ensure accuracy and identify missed opportunities. Reports the results and recommends quality improvements. **Education Requirement:** As required by listed licensure and/or certification requirement. **Licensure Requirement:** (not specified) **Certifications:** RHIT, RHIA, CPC, CCS, CCS-P, or COC, required. **Skills:** (not specified) **Experience:** * Two years ofcoding experience, required. * Three years computer experience in a data processing capacity, required. **Physical Requirements:** OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking FREQUENTLY: (none specified) CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting **Additional Physical Requirements performed but not listed above:** * Ability to multi-task within a demanding environment. "The above l
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