Coding Specialist

Overview of the Position:

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.

 Education and Experience:

•    High School Diploma or GED required. Associate degree preferred. 

•    Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.

•    Knowledge of insurance industry and medical terminology/anatomy required. 

Required Skills / Abilities:

•    Good oral and written skills. 

•    Detailed oriented with strong organizational skills. 

•    Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.

•    Demonstrates the ability to work in a high pressure environment

•    Strong active listening skills, attention to detail, and decision-making skills are required

•    Pleasant, friendly attitude with the ability to adapt to change is essential 

•    Superior problem- solving abilities is required

•    Ability to collaborate with all departments

•    Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. 

•    Possess excellent customer service skills and be well organized.  

•    Ability to communicate effectively utilizing both oral and written means.

Ability to handle various tasks simultaneously while working efficiently, effectively, and independently 

•    Must be comfortable taking direction from Leadership

Supervisory Responsibilities:

•    None

Essential Job Functions:

These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers.

•    Review assigned charts for correct ICD10 and CPT coding. 

•    Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. 

•    Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. 

•    Must maintain coding credentials thru AAPC. 

•    Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.

•    Perform other assigned duties.

Position Category:

Certified Coding Specialist I

•    Candidate has no previous medical billing or insurance industry experience 

•    Candidate has no previous coding experience

Certified Coding Specialist II

•    Candidate has less than 5 years of medical billing or insurance industry experience and/or

•    Candidate has less than 5 years of medical coding experience

Certified Coding Specialist III

•    Candidate has more than 5 years of medical billing or insurance industry experience and/or

•    Candidate has more than 5 years of medical coding experience

Physical Requirements:

Must be able to lift 30 pounds.  Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.