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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