What are the responsibilities and job description for the Coding Specialist I - Professional Fee Coding position at medstar?
MedStar Health is looking for a Coding Specialist to join our team with MedStar Physicians’ Billing Services. We are seeking a CPC coder with at least 2 years of coding experience and strong ability to code Evaluation and Management services in the office, outpatient and inpatient setting: primary care, family medicine, urgent care, and/or pediatrics. Must have experience in working prebill claim scrubber coding edits and experience in working coding-related insurance rejections.
As a Coding Specialist I, you will ensure that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain optimum reimbursement for services rendered. In addition to interacting with physicians on coding issues, you will ensure that physician encounter forms, theIDX billing system and MPBS processes are up to date and compliant regardingcoding issues. Assistsmanager as required.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Accesses and understands coding software used by hospital coders, as a verification/cross check tool to ensure that technical component coding done by hospital coders and professional component coding is synchronized correctly on accounts involving both billing components (example: Radiology coding).
Aids in the creation of training and educational coding guidance documents for physicians and MPBS Associates. Assists in the maintenance of billing, coding, and editing dictionaries in the billing system. Consistently meets or exceeds established Quality, Accuracy, and Productivity standards as defined by policies.
Contacts physician when conflicting or ambiguous information appears in the medical record; requests diagnosis from physicians when not recorded in medical records. Determines the sequence of diagnoses for accurate claims submission.
Employs knowledge of coding compliance, directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement. Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments.
Maintains continuing education and credentials as required for job classification. Recommends policy and procedural changes and improvements for revenue enhancement.
Qualifications:
High School Diploma or GED.
1 - 2 years medical-professional coding experience with demonstrated ability to work independently.
Certified Professional Coder (CPC) certification from AAPC.
Bachelor’s degree preferred.
Consideration will be given to an appropriate combination of education, training, and experience.
