The Coding Specialist works as part of the billing team to abstract data from patient charts based on clinical documentation.
- Review medical records and assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
- Ensure compliance with federal and state regulations.
- Assign and sequence all codes for services rendered.
- Abstract pertinent data from the medical record.
- Determine whether medical necessity was met based on clinical documentation.
- Identify missing or incomplete documentation and report it to the provider.
- Perform regular chart audits and coding reviews to ensure documentation accuracy and precision.
- Provide training to providers and nursing staff as appropriate.
- Work with departments to optimize workflow for locking notes.
- Maintain confidentiality of all information learned through the job.
- Demonstrate strong internal and external customer service skills.
- Perform other duties as assigned.
- This is a fast-paced office-based role with travel to other offices often.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred, or willingness to obtain certification within six months of hire.
- Two to five years of previous coding experience required.
- Self-motivated with strong organizational skills and computer experience, including Word, Excel, and database functions.
- Strong communication skills and ability to work well with external organizations and employees.
Working Conditions
- Fast-paced office setting.
- Travel to other offices often.
- Frequent sitting, standing, walking, bending, stooping, kneeling, and repetitive motion.
- Up to 15 pounds of lifting or exertion occasionally.
- 8–10 hours of constant computer usage.
- OSHA low-risk position.
Location
Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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