GI Alliance is seeking an experienced Coding Specialist I.

Duties of this position include, but are not limited to, the following:

Performs various duties to accurately interpret and bill physician charges for physician services. Enters into the Billing System appropriate CPT and ICD-10 codes and bills charges.

Responsibilities:

Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
Assists in entering data from inpatient facesheets including demographics, insurance plans, etc.
Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding.
Enters appropriate data into gPM selecting codes, diagnoses, modifiers, anesthesiology and provider information.
Contacts physicians through management regarding procedures and services billed to ensure proper coding.
Reviews patient logs and clinical activity reports to ensure all billable services are captured and coded.
Ensures batch processes for all coded charges are completed.
Reviews physician documentation to ensure compliance with third party and regulatory guidelines.
Works with Reimbursement staff to answer inquiries regarding coding and billing for GI Alliance physicians and pathology services.
Coordinates with Central Billing Office members as necessary.
Participates in problem identification and resolution.
Scrubs claims to submit compliant, truthful, and correct coding based on payer rules.
Performs other related duties as assigned.

Qualifications:

High school diploma or GED required.
Certified Professional Coder (CPC) certification from AAPC required.
Experience with EMR and medical coding preferred.
Entry level with 1-4 years experience or requires additional supervision if basic job requirements only.
Knowledge of medical terminology, anatomy, third party billing, and collection regulations.
Strong interpersonal, written, and verbal communication skills.
Ability to gather and interpret clinical data.
Proficient with Microsoft Office and alphanumeric data entry.
Strong attention to detail and decision making skills.

Equal Opportunity Employer committed to diversity and inclusion. All offers contingent on successful background check. No phone calls or agencies please.