Job description
Job Title: Coding Services Specialist
Reports To: Coding Services Director
Employment Type: Full-Time
Location: Remote
Essential Responsibilities:
• Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI) as set for the by the client.
• Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments. Review and provide resolution of edits/warnings. You will assign codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types.
• Communicates with department manager on coding, compliance, and documentation issues.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
• Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
• Within the scope of the job, requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
• Follows guidelines for each project as set by the client.
Required Skills:
• 3-5 Years Diagnostic Radiology Coding experience
• 3M experience a plus
• Audit scored at 95% or better
• Maintain a production rate of 90% or higher
• Maintain strict confidentiality/follow HIPAA rules
• RCC, CPC or CCS-P or equivalent certification
• Possess moderate knowledge of level 1&2 modifiers
• Radiology coders must be able to code the following modalities: Level I, Duplex and Doppler ultrasounds, CT’s/CTA’s, MRI’s and Nuclear medicine at a minimum
Minimum Requirements:
• Ability to examine documents for accuracy and completeness
• Ability to understand and follow compliance issues of moderate complexity
• Detail-oriented with the ability to identify and resolve problems
• Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
• Ability to communicate clearly and work effectively with co-workers
• Conduct self in an ethical, honest, and professional manner
Salary: $25.00 – $28.00/hour depending on experience. This position is eligible for full health insurance including medical/dental/vision, PTO, and a 401k match!
• A Coding Assessment Test will be administered before initial pre-screen.
• Must be a US resident and reside in one of the following states: Arizona, Connecticut, Florida, Georgia, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Texas.