About the role
Position Overview:
The Regional Coding Specialist is responsible for carefully reviewing charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines.
Required Education, Skills and Experience:
Medical Coding Certificate preferred
Minimum of two years of medical coding experience
Strong computer skills, including data entry, coding, and experience with Electronic Medical Record (EMR) software
Accurate and precise attention to detail
Goal-oriented, organized team player with the ability to work independently
Ability to multitask, prioritize, and manage time efficiently
Understanding of medical terminology, anatomy, and physiology
Proficient knowledge of computers and software, including:
Microsoft Windows OS
Google Docs
Microsoft Word
Microsoft Excel
Preferred Education, Skills and Experience:
Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)
Certified Billing and Coding Specialist (CBCS) by the National Healthcareer Association (NHA)
Qualified Medical Podiatry Coder (QMPC) by QPro
Essential Functions/Responsibilities (other duties may be assigned):
Receive and review charge tickets, patient charts, and supporting documentation for accuracy and completeness
Review and assign missing CPT, HCPCS, ICD-10-CM, and modifier codes to claims
Ensure codes are accurate, current, active, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines
Perform accurate charge entry
Identify and report missing, incomplete, insufficient, or unclear documentation
Follow up with physicians regarding documentation that is insufficient or unclear
Communicate with physicians and other clinical staff regarding documentation and coding requirements
Research and resolve complex or unusual coding cases
Serve as a resource for coding questions and insurance-related resolutions
Meet established daily coding production and quality standards
Update and maintain document lists and other coding-related records
Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations, health plan reimbursement requirements, and coverage policies
Identify recurring system errors, workflow issues, and training gaps and assist with root cause analysis and resolution
Perform additional duties as assigned by the supervisor
Benefits Offered:
Health Insurance (Single & Family plans available)
Life Insurance
Disability Insurance
401(k) plan with Company Match
Employee Discount Program
Paid Time Off
Paid Holidays
Originally posted on Himalayas