Tidelands Health
Better health begins here.
Provider Coding Specialist
Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn
Location
South Carolina
Posted
94 days ago
Salary
Not specified
High School2 yrs expEnglish
Job Description
• Analyze medical records, interprets documentation, and assigns proper ICD 10 CM, CPT/HCPCS, and modifiers utilizing designated software, coding manuals and other reference material as required
• Enter charges for procedures that are not soft coded as instructed for certain patient types
• Consistently meet coding quality and productivity standards established by the coding department
• Work closely with Patient Financial Service (PFS) to review documentation and serve as department expert on coding questions
• Assist with coding inquiries from billing and administrative staff, ensuring that accurate codes are applied for appropriate reimbursement
• Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract
• Review and resolve clearinghouse rejection errors, denials, and charge review/claim edits daily
• Collaborate with the Compliance/Quality Team when alerted to coding quality issues found via internal or external reviews; implement with accuracy coding quality recommendations
• Work with HIM operations as needed to clarify queries and documentation needs for the completion of the medical record
• Query providers for clarification on incomplete or ambiguous documentation and follow up to ensure timely resolution
• Review and code Orthopedic, OB/GYN, and other surgical specialties procedures with minimal supervision, ensuring correct coding and sequencing of diagnoses and procedures
• Provide continuous education and feedback to surgeons and clinical staff regarding ICD-10 coding and documentation best practices for surgical procedures
Job Requirements
- High School Diploma Required
- 2+ years of abstract coding for physician services Required
- Minimum of four years of healthcare experience
- At least three years of professional coding experience in Orthopedics or OB/GYN Required
- Experience working remotely Preferred
- Basic knowledge of ICD 10-CM diagnostic and CPT/HCPCS procedure codes principles and guidelines
- Basic knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and metric systems
- Basic knowledge of Standards of Ethical Coding
- Skills and ability to maintain working relationships with physicians and other staff
- Knowledge of Microsoft Applications including (Excel, Word, PowerPoint, Outlook, etc)
- Expertise in assigning accurate CPT®, HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines.
Benefits
- Health insurance
- Retirement plans
- Flexible work arrangements
- Professional development
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