Job Description
The Medical Coding Specialist is responsible for daily charge capture for all assigned providers and/or ancillary services ensuring correct coding guidelines are followed.
Primary Duties and Responsibilities:
•Retrieves relevant information from medical records for appropriate billing using current CPT and ICD 10 code guidelines
•Reviews daily charge capture for all assigned Providers/Ancillary Services
•Reviews claims requiring follow-up appeal
•Analyzes operative reports to assign correct CPT, ICD 10, HCPCS codes and modifier usage when capturing surgery charges
•Enters codes/charges in EHR system
•Audits provider dictation for compliance and accuracy
•Handles incoming patient and internal issues regarding coding
•Ensures compliance with medical coding policies and guidelines, including attending webinars, conferences, and maintaining CPC certificate through continuing education
Competencies:
•Service: We align our actions and decision making with the organization's guiding platform keeping our patients at the center of all we do.
•Change Agent: We support and contribute to positive change in the organization.
•Communication and Interpersonal Relations: We communicate honestly and with compassion to build connections with our patients and each other.
•Effectiveness: We take ownership of work, doing the right thing for our customer and doing it well.
Organizational Culture:
All OrthoIllinois employees focus on service by putting the mission, vision, and value statements into practice and using the guiding principles of Compassion, Respect, Trust, Integrity, Innovation, Education Fiscal Responsibility, Practice Independence, Accountability, and Empowerment to direct their interactions and decision making. Employees promote and model the service standards to create lasting impressions, extraordinary moments, exceptional on-stage experiences, and meaningful and compassionate connections.
Education and Experience Requirements:
•High School Diploma or GED
•A minimum of two years of experience in a similar position and/or performing similar tasks
•Understanding of CPT, ICD 10, HCPCS coding requirements; professional Coding certification preferred
•Understanding of medical terminology
•Basic working knowledge of Microsoft and Google Suites
•Basic working knowledge of EHR and insurance and hospital portals
Environmental/Working Conditions:
Working environment is in an office/clinic setting.
Physical/Mental Demands:
•Sit, stand, walk, stoop or kneel, crouch or crawl, and climb stairs for long periods of time
•Requires lifting, carrying and/or moving objects in a manner consistent with most office environments (generally, no more than 10 pounds on a frequent basis and 20 pounds on an occasional basis)
•Possess full range of motion in shoulders and arms, including reaching above or below the shoulder
•Finger dexterity; the ability to twist hands/wrists repetitively
•Vision (e.g., depth perception, color vision, strong vision up close), hearing (e.g., high pitch sounds, soft or distant sounds)
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. Ortho Illinois
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