What are the responsibilities and job description for the Coding Specialist I position at GI Alliance?
Description
Austin Gastroenterology is seeking an experienced Coding Specialist I.
Duties of this position include, but are not limited to, the following:
Position purpose
Performs various duties to accurately interpret and bill physician charges for physician services. Enters into the Billing System appropriate CPT and ICD-10 codes and bills charges.
Responsibilities/Duties/Functions/Tasks
Qualifications
Education: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.
Experience: Experience working with EMR and in medical coding preferred.
Requirements For Level I Status
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.
NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
No phone calls or agencies, please.
EEO/AA-M/F/disabled/protected veteran
Austin Gastroenterology is seeking an experienced Coding Specialist I.
Duties of this position include, but are not limited to, the following:
Position purpose
Performs various duties to accurately interpret and bill physician charges for physician services. Enters into the Billing System appropriate CPT and ICD-10 codes and bills charges.
Responsibilities/Duties/Functions/Tasks
- Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
- Assists in entering data from impatient facesheets including but not limited to demographics, insurance plans, etc.
- Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
- Enters appropriate data into gPM by selecting the appropriate codes, diagnosis, modifiers, Anesthesiologist, CRNA, pathology, and provider information to complete the process.
- Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
- Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
- Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
- Responsible for ensuring the batch processes for all coded charges.
- Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
- Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for GI Alliance physicians' and pathology services.
- Works in coordination with other members of the Central Billing Office as necessary.
- Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
- Responsible for scrubbing claims in order to submit compliant, truthful, and correct coding based on payer rules.
- Performs other related duties as required and assigned.
Qualifications
Education: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.
Experience: Experience working with EMR and in medical coding preferred.
Requirements For Level I Status
- Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.
- Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.
- Good working knowledge of medical terminology and anatomy.
- Knowledge of current third party billing and collection regulations and requirements.
- Good interpersonal skills and written and verbal communication skills.
- Ability to gather and interpret clinical data.
- Ability to utilize Microsoft Office and alpha numeric data entry.
- Strong attention to detail and decision making skills.
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.
NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
No phone calls or agencies, please.
EEO/AA-M/F/disabled/protected veteran
