Coding Specialist

Overview of the Position:

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.

Education and Experience:

• High School Diploma or GED required. Associate degree preferred.
• Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years’ experience with CPT/ICD10/HCPCS coding of physician services.
• Knowledge of insurance industry and medical terminology/anatomy required.

Required Skills / Abilities:

• Good oral and written skills.
• Detailed oriented with strong organizational skills.
• Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
• Demonstrates the ability to work in a high pressure environment
• Strong active listening skills, attention to detail, and decision-making skills are required
• Pleasant, friendly attitude with the ability to adapt to change is essential
• Superior problem- solving abilities is required
• Ability to collaborate with all departments
• Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
• Possess excellent customer service skills and be well organized.
• Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
• Must be comfortable taking direction from Leadership

Supervisory Responsibilities:

• None

Essential Job Functions:

These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist’s responsibility while working to ensure excellence in service for the internal and external customers.

• Review assigned charts for correct ICD10 and CPT coding.
• Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
• Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
• Must maintain coding credentials thru AAPC.
• Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
• Perform other assigned duties.

Position Category:

Certified Coding Specialist I

• Candidate has no previous medical billing or insurance industry experience
• Candidate has no previous coding experience Certified Coding Specialist II
• Candidate has less than 5 years of medical billing or insurance industry experience and/or
• Candidate has less than 5 years of medical coding experience Certified Coding Specialist III
• Candidate has more than 5 years of medical billing or insurance industry experience and/or
• Candidate has more than 5 years of medical coding experience

Physical Requirements:

Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.