What are the responsibilities and job description for the Coding Specialist position at Open Door Health Services?
As a Coding Specialist you will uphold our Mission, Vision, and Values. Under the direction of the Director of Revenue Cycle, this position will file appropriate billing forms for private insurance, Medicaid, and Medicare, collect fees that are due, and maintain appropriate records of such transactions. They will translate descriptions of medical diagnoses and procedures into codes which record health care data. They will work closely with medical staff who are responsible for recording the information required for coding within the patient’s medical record.
Responsibilities (How this position enhances our Mission, Vision, and Values)
Mission – Improve the Quality of Life of Others:
- Compile monthly reports on claims transmitted, claims received, review outstanding claims on claims transmitted/received, outstanding bills and insurance claims and other necessary report for the functioning of the financial office.
- Post all encounter forms into the computer to include appropriate ICD-10 and CPT codes and charges.
- Audit claims specified by the Director of Revenue Cycle monthly.
Vision – ODHS preferred partner in East Central Indiana for improving the well-being of individuals and the communities in which they live:
- Update patients demographic information and third-party payer information in the computer.
- Input information for hospital charges for providers.
- Input information in EMR for outreach events.
Values – Esteem the Team, Maximize Potential, Do the Right Thing, Choose Compassion, Encourage Uniqueness:
- Provider education as needed.
- Enter Lab charges with appropriate ICD-10 and CPT codes and charges.
- Allocate codes to patients’ current episode of care, using knowledges of current ICD-10 and CPT coding, by consulting with responsible medical provider.
- Clarify inconsistent, ambiguous, or non-specific information in a medical record by consulting with the responsible medical provider.
- Keep coding knowledge and skills updated.
- Complies with all agency policies and procedures concerning corporate compliance including privacy of protected health information.
Education and Experience:
- High School diploma or GED equivalency preferred. Medical coding certification strongly preferred.
- Prefer billing department experience in a health care facility.
About you:
- Able to work with high degree of precision paying attention to detail to achieve the high level of accuracy required.
- Good planning and organization skills.
- Good problem-solving skills.
- Good communication skills and ability to work closely with others and in teams.
- Can work under pressure and meet deadlines.
- Able to work unsupervised.
- Aptitude for working with computers.
- Good grooming and presentation.
- Tact and discretion.
- Able to maintain patient confidentiality.
- Able to help patients and staff in a friendly and efficient manner.
- Able to react calmly and effectively in emergency situations.
- Interested in health care procedures.
- Willing to continually update skills and knowledge.
- Knowledge of CPT and ICD-10 coding.
- Skill in establishing and maintaining effective working relationships with patients, co-workers and the public.
- Ability to handle patient phone calls in a timely manner.
- Ability to read, understand and respond to detailed oral and written instructions.
- Ability to maintain a regular and predictable work schedule.
- Ability to understand and respect individual’s socio-economic status and lifestyle.
- Ability to function as a member of a multidisciplinary team.
- Ability to work with figures, paying close attention to accuracy and detail.
Physical and Environmental Requirements:
- Possible exposure to communicable diseases, toxic substances, medicinal preparations and other conditions common to clinic environment. Tasks may involve contact with blood or body substances.
- Requires standing, walking or sitting for long periods of time. Occasional bending, stretching or lifting up to 40 pounds.
- Requires the ability to work under stressful situations.
- Requires corrected vision and hearing to normal range or use of approved adaptive equipment
