Coding Specialist

Overview of the Position:

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.

Education and Experience:

• High School Diploma or GED required. Associate degree preferred.

• Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years’ experience with CPT/ICD10/HCPCS coding of physician services.

• Knowledge of insurance industry and medical terminology/anatomy required.

Required Skills / Abilities:

• Good oral and written skills.

• Detailed oriented with strong organizational skills.

• Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.

• Demonstrates the ability to work in a high pressure environment

• Strong active listening skills, attention to detail, and decision-making skills are required

• Pleasant, friendly attitude with the ability to adapt to change is essential

• Superior problem- solving abilities is required

• Ability to collaborate with all departments

• Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.

• Possess excellent customer service skills and be well organized.

• Ability to communicate effectively utilizing both oral and written means.

Ability to handle various tasks simultaneously while working efficiently, effectively, and independently

• Must be comfortable taking direction from Leadership

Supervisory Responsibilities:

• None

Essential Job Functions:

These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist’s responsibility while working to ensure excellence in service for the internal and external customers.

• Review assigned charts for correct ICD10 and CPT coding.

• Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.

• Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.

• Must maintain coding credentials thru AAPC.

• Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.

• Perform other assigned duties.

Physical Requirements:

Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.