Per Diem Medical Coder

The Coding Specialist reports to the Coding Manager and is
responsible for correct coding of professional services and upholding compliance
standards.

The Coding Specialist I is
required to:

* Perform coding and related duties using established
Professional Billing Office and Coding Services policies in an accurate and
timely manner. Review medical
documentation and system generated charges or paper encounter forms. Appropriately assign CPT, ICD-9/ICD-10,
HCPCS II, and modifiers based on documentation and payor requirements.

* Demonstrate a commitment to integrating coding
compliance standards into daily coding practices. Identify, correct and report coding
problems.

* Maintain current knowledge of coding, compliance and
reimbursement procedures. Review current
literature, newsletters, payor policy updates and coding manuals.

* Resolve coding edits and denials in a timely
manner. Identify opportunities to reduce
denials and enhance revenue.

* Function as a resource to Professional Billing Office
units and external customers. Research
and resolve coding inquiries. Make
recommendations for coding policy changes. Participate in the electronic or paper
encounter form revision process to ensure correct coding standards are
met.

* Develop and maintain division specific coding
procedures.

* Complete special projects as assigned by management
which require defining problems, determining work sequences, summarizing
findings, and implementing required changes.

* Participate in coding education for providers and
co-workers.

* High school diploma required

* Completion of a Coding Certificate program or Health
Information Technology Program or work experience equivalent required.

* Experience in coding, billing, and
knowledge of insurance reimbursement policies and regulations or equivalent
experience is preferred but not required if one has completed a Coding
Certificate or Health Technology Program.

* Course work in anatomy and physiology,
medical terminology is strongly preferred

* Coding Certification from American Academy
of Professional Coders (AAPC) or American Health Information Management
Association (AHIMA) is strongly preferred. Certification may include CPC, CPC-H, CCS, CCS-P.

• Proficient in ICD-9, ICD-10, CPT, HCPCS, and
  modifiers for coding of professional fee services.
• Working knowledge of anatomy and physiology,
  medical terminology and insurance reimbursement policies and regulations.
• Excellent written and verbal communication skills
  and the ability to prioritize and organize work to meet strict deadlines are
  required.
• Accuracy and attention to detail
• Proficient with computer applications (MS Office
  etc), good data entry skills

The Professional Billing
Office is located in the Charlestown Navy Yard campus.