What are the responsibilities and job description for the Senior Coding Specialist position at Talantage, LLC?
Senior Coding Specialist
Essential Duties:
Qualifications:
Working Conditions:
Essential Duties:
- Responsible for abstraction and accurate coding of procedures from various forms and medical records to ensure optimal reimbursement and compliance with all regulations, policies and procedures.
- Abstracts and codes by Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) procedures and diagnosis from medical records.
- Verifies medical record documentation requirements.
- Responsible for verifying that CPT, Healthcare Common Procedural Coding System (HCPCS) & ICD coding used is correct.
- Responsible for verifying that payment is correct for CPT, HCPCS & ICD coding.
- Reviews charging procedures to ensure compliance with Federal regulations, and Medicare and Medicaid Policies.
- Verifies correct interpretation was used in the calculation of write-offs.
- Advises and educates faculty in regard to charge documentation, diagnosis, procedure coding, and charge policies.
- Performs charge corrections.
- Reviews patient admitting records and extracts relevant information.
- Reviews source documents to determine if there is sufficient data to process.
- Completes processing of all inpatient and outpatient documents. Assists with resolving department problems with patient billing.
- May lead and train other Coders.
- Performs various duties as needed to successfully fulfill the function of the position.
Qualifications:
Working Conditions:
- Physical: Sit for prolonged periods. Communicate effectively and listens. Use of computer, calculator, and telephone.
- Environmental: Standard office environment. Exposure to difficult customers and third party carriers over billing and coding issues.
- Required: 24 months experience with general coding
- Required: High School Diploma or GED.
- Certified Professional Coder (CPC) or
- Certified Outpatient Coder (COC) or
- Certified Coding Specialist (CCS) or
- Certified Coding Specialist - Physician based (CCS-P) or
- National Healthcare Association Certification. (NHA).
- Knowledge of CPT and ICD coding processes and determine which documentation is required to enter into the coding system
- Knowledge of the different insurance carriers and their processes
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
- Excellent customer service
- Ability to handle stressful situations in a professional manner
- Ability to recognize a problem and solve in a timely manner
