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Coding Specialist - Revenue Cycle Management

McLeod Health

Maintains a professional image and provides excellent customer relations to patients, visitors, physicians, and co-workers in accordance with Service Excellence Standards and Core Values.

Responsible for coding claims for professional fees for practice-based physicians or other entities.

Reviews professional documentation for accurate CPT, HCPCS, and ICD-10-CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.

Maintains CEUs for AAPC membership/certification.

Uses online services or traditional coding references to look up CPT, HCPCS, and ICD-10-CM codes.

Manages time to meet productivity standards and ensure coding is completed within departmental goals.

Assists the billing department with coding denials and appeals from various payors to help ensure optimum reimbursement for documented services.

Maintains knowledge of payor coding and billing guidelines for assigned specialties.

Communicates coding trends or issues impacting reimbursement to the management team.

Serves as a resource to other coding specialists.

Develops working relationships with physicians, providers, and office staff.

Meets regularly with the Coding Manager to discuss and resolve coding issues or obstacles.

Travel may be required to satellite offices and/or practices.

Work schedule: 80 hours bi-weekly.

Requirements & Qualifications

Minimum of 1-2 years of coding and billing experience preferred.

Computer proficiency in Microsoft Excel and Microsoft Office.

Strong oral and written communication skills.

Analytical and organizational skills.

CPC or CPC-A certification through AAPC, or another nationally recognized coding credential.

If certification is through another nationally recognized credentialing entity, AAPC certification must be obtained within one year of hire.

High school diploma or equivalent from an accredited school required.

Location

South Carolina, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

4 weeks ago

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