Medical Coding Specialist

Responsibilities:

• Keep informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology, medical coding, and effectively applies this knowledge.
• Assists with third party payor and other audit requests by compiling, organizing and reviewing chart documentation as needed.
• Works with other coders in the department to assist with difficult cases.
• Performs E&M and CPT coding review and other projects related to physician coding compliance in fulfillment of the practice’s compliance program.
• Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
• Communicate effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.
• Demonstrates outstanding work ethics and works cooperatively with all team members and management with a can-do spirit and team attitude.
• Assist with audit and entry of charges into EMR system and/or Practice Management System
• Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.
• Ability to effectively abstract code surgical procedures and assign appropriate place of service and determine medical decision-making levels for E/M services.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
• Required or Preferred Qualifications:
• Must have a CPC, CCS-P, or other professional coding certification
• Minimum of 4 years coding experience preferred
• 2 years’ experience performing chart audits or assignment of appropriate CPT and ICD10 codes through documentation review, in a physician practice/hospital environment required.
• Knowledge of Medical Oncology/Radiation/Surgery coding and leveling highly preferred
• Essential Competencies:
• Attendance is an essential job function
• Knowledge of government, legal and regulatory provisions related to collection activities.
• Knowledge of government programs, i.e., Medicare and Medicaid.
• Knowledge of insurance company’s policies and procedures.
• Knowledge of CPT, ICD-9, HCPCS coding.
• Knowledge of anatomy and medical terminology.
• Ability to prioritize work and manage time efficiently.
• Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data.
• Effective communication skills at all levels within organization and excellent customer service skills.
• Proficiency in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook, payer sites), database and patient scheduling and other medical information systems.
• #LI-REMOTE