Coding Specialist

Coding Specialist
Position Number 6771401 Department Internal MedicineCategory Accounting Compensation Max USD $47,725.00/Yr.Compensation Min USD $36,712.00/Yr. Options :
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Overview:
This position is responsible for reviewing and assigning appropriate ICD-9, ICD-10 and CPT codes to incoming work (services rendered by providers.), thereby maximizing reimbursement received from third party payors. This position is responsible for physician/staff education based upon EVMS Medical Group Compliance Guidelines, HCFA Teaching Physician Guidelines, coding guidelines and results of chart audits. Responsible for conducting internal departmental mini-audits to ensure inpatient and outpatient medical records contain sufficient documentation to justify the frequency and type of services being billed to carriers and patients.

Responsibilities:
•Conduct regular coding education and training classes for providers and staff.
•Make recommendations on implementing procedures for compliance within the department setting.
•Develop Department compliance, coding, and billing policies and procedures based on the EVMSMG Compliance Plan and the HCFA Teaching Physician and Resident Guidelines.
•Enter inpatient and outpatient charges adhering to carrier regulations.
•Provides feedback to management as to problem areas and when proper information cannot be obtained from providers.
•Responsible for staying abreast of insurance carrier regulation changes and informing providers, management, and staff of such changes.
•Ongoing review of compliance, coding, and billing, literature and guidelines effecting academic medicine and surgery practice.
•Researches and assign the appropriate CPT/ICD-9 & ICD10 code based on the provider’s dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
•Audits and reviews the appropriateness of the CPT, ICD-9 and ICD10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
•Functions as liaison between the providers and EVMS Medical Group Billing Office to communicate and/or educate regarding the appropriate use of the procedural and diagnostic coding process.
•Completes and follows up on missing Information from providers when the information provided does not support the services rendered.
•Performs other duties as assigned.
Qualifications:
Associates degree plus 4 years’ experience working with CPT/ ICD-9 & ICD 10 coding in a primary care setting. Current CPC certification is required and must be maintained annually. Previous experience in a physician’s office or hospital setting preferred.