Coding Compliance Specialist jobs in Aiken, SC

JOB SUMMARY:

The Medical Billing and Coding Specialist utilizes knowledge of insurance regulations, health insurance contracts, hospital medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to, medical coding, insurance verification, ensuring the accuracy of the information housed in the practice management system, preparing deposits, collecting, posting, and managing account payments, submitting accurate claims, and following up on accounts.

III. QUALIFICATIONS

Knowledge, Skills, and Abilities:

• Knowledge of medical billing and collection practices.
• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information.
• Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
• Examines documents for missing information; corrects information as needed.
• Performs patient chart audits and provides coding feedback and education to clinical team as needed.
• Answers questions, advises, and trains providers and staff on medical coding.
• Informs supervisor of issues with equipment and billing software and serves as point person for billing software issues and complications.
• Ensures compliance with medical coding policies and guidelines; understands the application of each code set.
• Maintains current knowledge regarding coding and diagnostic procedures.
• Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested.
• Demonstrable knowledge of computer programs relevant to position.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, fellow employees and the public.
• Must be well organized and detail oriented.

EDUCATION:

Coding Certification from APPC or AHIMA. High school graduate or equivalent required, technical training preferred.

REQUIREMENTS:

• 3 years coding experience
• Certified Coder (CPC, CCS-P)
• Ability to meet defined performance and production goals
• Excellent verbal and written communication skills
• Excellent organizational skills

Physical Abilities:

Able to perform all duties with reasonable accommodation. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.

IV. WORKING CONDITIONS:

The Medical Billing and Coding Specialist requires interaction with diverse groups, thus working conditions require significant tact and judgment daily. Nearly all work will be in the physician office environment.

Medical Associates Plus reserves the right to direct its workforce this includes but is not limited to work location, work hours and job duties.

The above is intended to describe the job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not to be construed as an exhaustive statement of supplemental duties, responsibilities, or non-essential requirements.

• Knowledge of medical billing and collection practices.
• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information.
• Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
• Examines documents for missing information; corrects information as needed.
• Performs patient chart audits and provides coding feedback and education to clinical team as needed.
• Answers questions, advises, and trains providers and staff on medical coding.
• Informs supervisor of issues with equipment and billing software and serves as point person for billing software issues and complications.
• Ensures compliance with medical coding policies and guidelines; understands the application of each code set.
• Maintains current knowledge regarding coding and diagnostic procedures.
• Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested.
• Demonstrable knowledge of computer programs relevant to position.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, fellow employees and the public.
• Must be well organized and detail oriented.

EDUCATION:

Coding Certification from APPC or AHIMA. High school graduate or equivalent required, technical training preferred.