Coding Specialist - Patient Accounting

Under direct supervision, performs collection functions on account balances within assigned financial classes.

Key Responsibilities

• Work with front-desk staff and practice managers to ensure accurate patient registration in the practice management system
• Review provider documentation for auditing purposes related to billing and communicate with providers when there are errors, missing information, or other inaccuracies
• Review physician charges, add modifiers, diagnoses, and other standard coding conventions to ensure accurate and timely billing, making corrections as necessary
• Create and submit clean claims by reviewing and correcting claim errors in accordance with established policies and procedures
• Stay current on payer billing requirements, CMS, CPT, and AMA regulations
• Review open encounter, encounter missing charges, and inpatient note reconciliation reports
• Communicate with patients regarding billing and coding questions
• Serve as the practice liaison with the Billing Office and help educate staff on efficient and compliant billing and registration practices
• Work with AR staff to resolve and appeal denials
• Provide assistance and education to providers regarding correct CPT and ICD-10 coding and documentation requirements
• Maintain productivity by reviewing a minimum of 12 charge sessions per hour
• Maintain coding certification through continuing education courses

Work Environment

• Normal office work environment
• Ability to concentrate and pay close attention to detail
• Ability to sit for long periods of time