Specialty Coder

This is an in-person (office) position.

Duties:

Reviews Op Notes and properly bill provider Pro Fees
Supplies correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided
Supplies correct HCPCS code on all procedures and services performed
Supplies correct CPT code on all procedures and services performed
Performs a comprehensive review of the chart note to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated.

Knowledge of:

Federal laws and regulations affecting coding requirements
Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Abstracting clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification system
Use of ICD10, HCPCS, CPT, Professional tools and referencing material

Responsibility, Skills and Difficulty of Work:

Perform coding work requiring independent judgment with speed and accuracy
Examining and verifying coding errors through reporting
Works independently in the absence of supervision
Sequences codes according to established guidelines
Thoroughly analyzes and interprets medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement
Performs other related duties, which may be inclusive but not listed in the job description.
Participates in departmental needs with billing and answering phone calls.

Education & Qualifications: