Medical Coding Specialist
$48,298–$68,182 year
On-sitePueblo, Colorado, United States
Pueblo, Colorado, United StatesOn-site$48,298–$68,182 yearMedium
Medium
Job Summary
Review medical and behavioral health documentation to ensure accurate reimbursement and compliance with guidelines. Perform ICD-10, CPT, and HCPCS coding for clinical services while maintaining a 95% accuracy rate. Investigate coding issues, correct claims, and resolve denials by communicating with clinical staff and patient accounts. Provide technical expertise on coding conventions, Local and National Coverage Determinations, and NCCI guidelines. Maintain current knowledge of billing regulations and departmental quality standards.
Required Qualifications
- High School Degree or equivalent
- One year experience with outpatient or inpatient coding using ICD-10, CPT-4, and HCPCS for Medicare, Medicaid and third-party billing
- A working knowledge of OBGYN, podiatry, inpatient, family practice and behavioral health
- A working knowledge of Local Coverage Determinations, National Coverage Determinations and NCCI guidelines for coding accuracy
- Demonstrated ability to understand the clinical content of a health record
- Must be able to work with a variety of healthcare professionals at all levels
- Must maintain all certifications required by this position
- Must meet and maintain departmental quality and production standards
Desired Qualifications
- AAPC or AHIMA certification preferred
- Two years experience with outpatient or inpatient coding using ICD-10, CPT-4, and HCPCS for Medicare, Medicaid and third-party billing
- Working knowledge of electronic medical record systems preferred
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