Coding Specialist

Coding Specialist Job Opening

Medical Coding Job Openings In Red Bluff

Reports To:

Business Office Manager

Organizational Peers:

Business Office Personnel

Job Summary:

Coding Specialist is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance.

Performance Requirements:

Knowledge

  • Knowledge of billing practices and clinic policies and procedures.
  • Knowledge of coding and clinic operating policies.
  • Knowledge of medical terminology
  • Knowledge of health care insurance claim practices and compliance.
  • Knowledge of computer systems, programs, and applications.

Skills

  • Proficient skills in computer programs.
  • Skill in using a calculator.

Abilities

  • Ability to understand and interpret policies and regulations.
  • Ability to read and interpret medical charts.
  • Ability to examine documents for accuracy and completeness.
  • Ability to communicate effectively and work with others.
Major Duties and Accountabilities:
  • Coordinates with clinical staff to verify charge and/or documentation information as needed
  • Audits information about procedures performed and diagnosis on charge.
  • Audits 100% of new provider claims
  • Audits providers quarterly for correct coding and optimal reimbursement
  • Provides education to clinical staff as necessary with coding/documentation
  • Reports quarterly on Bell Curves
  • Responsible for Athena Work Lists as apply to med necessity and/or coding denials
  • All other duties as assigned by the Business Office Manager
Position Competencies:
  • Role model for organization’s core values
  • Customer Service: Demonstrates the highest standards for friendly, courteous and caring interaction with patients, physicians, customers, and fellow employees.
  • Professional presence
  • Communication: Demonstrates ability to accept and understand instructions, expresses self clearly and concisely.
  • Adaptability/Flexibility: Demonstrates the ability to cope with pressure, grasp new ideas and methods, and adjust responses to meet the changing work environment.
  • Independence/initiative: Demonstrates reliability, follow through, ability to work with minimum supervision, and desire and ability to accept additional responsibility.
  • Confidentiality
  • Emotional Intelligence: Maintain basic emotional and social competencies to include self-awareness, self-regulation, motivation, empathy, and social skills.
Job Qualifications:
  • Equipment operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.
  • Education/Experience: Must have a high school diploma/Certified Coder and a minimum of one year coding experience in a health care organization.
  • Physical: Position is in a well-lighted office environment and sitting and standing associated with a normal office environment.