Job Description:
• Perform multi-specialty reviews for the Medical Group, validating CPT, ICD-10, modifiers, and HCPCS codes using official coding and CMS guidelines
• Prepare summaries of coding review findings and present reports to leadership monthly
• Review all coders within the department
• Train and mentor coders on identified issues and correct coding guidelines
• Code professional billing charges based on clinical documentation
• Identify and help resolve coding issues and improve processes
• Assist in creating edits to prevent coding denials
• Assist in creating standardized front-end coding processes and training materials
• Interact with other departments to resolve coding issues
• Perform other duties as assigned
Requirements:
• Bachelor's degree in Business or related field of study
• Three years of multi-specialty coding experience in professional billing
• CPC Certified Professional Coder certification from AAPC
• CPMA Certified Professional Medical Auditor certification from AAPC
• Knowledge of medical terminology and basic anatomy and physiology
• Ability to apply coding concepts to ensure correct coding
• Analytical skills
• Working knowledge of Epic, Encoder Pro, and 3M
• Ability to work independently and manage multiple projects consistently
• Proficient computer skills in word processing, spreadsheets, and databases
• Data entry skills
Benefits: