What are the responsibilities and job description for the Medical Coding Specialist position at Radiation Billing Solutions, Inc?
Job Description
Job Description
Description :
The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client / facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.
Essential Duties and Responsibilities
- Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience.
- Maintain a minimum coding productivity of 30 CPT units per hour.
- Ensure an average error rate of less than 2%.
- Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements.
- Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans.
- Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for Technical / Professional / Global and Freestanding / HOPPS coding.
- Review daily client activities, ensuring accuracy and validity of CPT and ICD-10 codes compared to chart documentation.
- Identify and report discrepancies or deficiencies, making corrections as per client protocols.
- Enter charges into the client’s billing system, if applicable.
- Communicate coding discrepancies and documentation deficiencies to the client daily or weekly, based on their preferred communication method.
- Participate in required client meetings and build collaborative relationships to integrate as part of the team.
Other Expectations / Skills
Key Attributes
ENCORE Values
E ncourage others’ success
N ew ideas; anticipate problems
oPick up on problematic client trends quickly and address them efficiently, bringing in management as appropriate.
oBring at least one idea for a process improvement to the team quarterly.
C reate financial value for our clients
oInteract with client staff and team members to ensure coding is completed in a timely and efficient manner
oGold Standard : Achieving Coding goals in the same month 4 out of 6 rolling months
oMonthly average of 30 CPT per hour
oMaintain an average error rate of less than 2% from QA reviews
oObtain 90% approval rating from client satisfaction surveys obtained.
oOur focus is to remove the pressure of coding from our client physicians and facilities so they can put all their effort into treating their patients.
O wnership towards a solution
R each Life Balance
E mbody a positive approach
oCommunication with clients and other RBS divisions
oActively engage in department meetings and group conversations
Requirements :
Physical Demands and Work Environment : The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.
Disclaimer : This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.
The company is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.
