What are the responsibilities and job description for the Coding Specialist (97414) position at U.S. Dermatology Partners?
Job Details
Job Posting Date(s)
Start Date 02 / 13 / 2025
Description
SECTION 1 : Job Summary (Summary of the basic functions of the position)
Responsible for determining if applied coding matches provider documentation in the EHR. Be able to
identify coding and documentation discrepancies. Clearly communicate and educate Providers and clinic
staff on proper coding and billing guidelines when necessary. Follow approved processes, policies,
procedures and coding guidelines in executing job duties.
SECTION 2 : Duties and Responsibilities (Responsibilities necessary to accomplish job functions)
- Compiles daily work list from NextGen tasking system and / or other systems / reports and takes action to resolve work daily following established procedures and thresholds
- Communicate with insurance companies about coding errors and disputes.
- Review claim edits for correct coding.
- Review claim forms for accuracy and correct coding.
- Retrieving and submitting appropriate medical records as needed.
- Utilize problem-solving skills to research and resolve discrepancies, denials, appeals.
- Review payer rules to understand reason for denial.
- Interpret clinical documentation to determine services provided.
- Compose correspondence to payer regarding payment disputes and / or appeals.
- Apply knowledge of coding guidelines to properly evaluate clinical documentation.
- Effectively communicates with physicians, nurses, and other healthcare professionals to classify the services a patient has received.
- Perform follow-up actions with insurance companies to ensure timely and full payment
- Actively participates in problem identification and resolution.
- Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
- Performs other duties that may be necessary or in the best interest of the organization.
Qualifications
SECTION 3 : Knowledge, Skills and Abilities Requirements
SECTION 4 : Supervisory Responsibilities :
Salary : $25 - $29
