Coding Specialist
On-siteCincinnati, Ohio, United States
Job Summary
Evaluate medical records and charge tickets to ensure diagnostic and procedural codes accurately reflect outpatient visits via compliance with ICD-10-CM and CPT guidelines. Identify and address documentation or charge discrepancies, perform edit checks on data prior to transmittal, and correct errors as indicated. Research, analyze, and facilitate plans of action to prevent future coding errors while providing technical guidance to physicians and staff on proper code selection and documentation. Collaborate with the Denials team to review Medicare claims for completeness and accuracy before submission. Develop and update procedure manuals to maintain coding standards, minimize fraud risks, and optimize revenue recovery. Stay abreast of regulatory changes through reading bulletins and attending workshops.
Required Qualifications
- Knowledge of ICD-10-CM and CPT coding guidelines
- Knowledge of medical terminology
- Knowledge of state and federal Medicare reimbursement guidelines
- Experience with the utilization of modifiers and other coding rules
- Experience with the AMA and other coding organizations
- Excellent written and verbal communication skills
- Ability to apply and understand payer requirements
- Ability to prioritize and resolve multiple tasks
- Excellent problem-solving skills
- HS or G.E.D
- 2+ years of medical coding experience OR completion of A.A. or A.S. in medical coding and billing, medical administration, or a related field
- CPC, RHIT, ART, or CCS coding credentials
- Proficiency in Microsoft Excel
- Proficiency in Microsoft Word
- Proficiency in Microsoft PowerPoint
- Proficiency in Microsoft Outlook
- Experience with EHR software systems
- Ability to frequently lift and/or move up to 10 pounds
- Close vision
- Distance vision
- Color vision
- Peripheral vision
- Depth perception
- Ability to adjust focus
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