What are the responsibilities and job description for the Medical Coder/Billing Specialist position at Clearly MD, LLC?
Job Description
Responsible for the daily completion of both claim edits, denials, and no response billing functions for timely follow up. Must be proficient in medical terminology, insurance diagnosis codes and CPT coding. Handles internal and external questions to completion.
Responsibilities:
- Assigns CPT and ICD code; Ensures compliance with medical coding policies and guidelines; Maintains current knowledge regarding coding and diagnostic procedures.
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Researches and analyzes data needs for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
- Serves as resource and subject matter expert to other coding staff.
- Reviews and verifies documentation supports diagnoses, procedures and treatment results.
- Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions. Serves as coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
- Identifies reportable elements, complications, and other procedures.
- Perform other duties as requested or assigned.
Qualifications:
- Working knowledge of medical terminology, ICD-10, CPT coding, billing and collection practices.
- General office knowledge (Microsoft Excel and Word)
- Strong written and verbal communication skills
Job Type: Full-time
Pay: From $15.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person
Salary : $15