Senior Coding Specialist

Responsible for performing coding tasks to support efficient operations within the physician practices at Chesapeake Regional Medical Group.

Key duties include:

• Obtain pathology and operative reports from hospital systems.
• Assign and sequence ICD diagnostic, procedural, and CPT codes to ASC records.
• Identify complicating conditions and comorbidities to help ensure optimum reimbursement.
• Maintain established productivity requirements.
• Enter code and charge information accurately into information systems.
• Review reports to validate accurate transmission.
• Resolve transmission errors and resubmit claims.
• Report payments on collection claims to Collections Specialists.
• Attend hospital-wide orientations, meetings, and in-services as required.
• Support flexible work scheduling when needed to ensure patient care.
• Complete charge entry, coding, billing, and follow-up tasks in a timely manner.
• Assist and train Billing Representatives across practices, departments, and locations.
• Provide back-up phone coverage, including patient statement calls and staff support.
• Process refunds and train staff on refund procedures.
• Manage AIR Aging Wizard activities.
• Conduct internal audits.
• Support new practice go-live implementations.
• Demonstrate knowledge of payer guidelines related to appeals, overpayments, retractions, refunds, eligibility, reconsiderations, referrals, authorizations, filing limits, denials, and attachment requirements.
• Retrieve clinical and financial documents from scanning systems such as OnBase.
• Handle Release of Information requests.
• Participate in healthcare and insurance webinars and seminars.
• Maintain current knowledge of assigned payors, LCD/NCD, CPT, and ICD-9/ICD-10.
• Attend monthly billing meetings.
• Report task and project progress to management on a regular basis.
• Create coding-related cases for team members when needed.
• Provide front desk support after new EMR go-live implementations.
• Fill in as a Patient Service Representative as directed by the manager.