Coding Reimbursement Specialist- Clinic

Job description

Job Summary
Assigns appropriate diagnosis/procedure codes based on clinical information contained in the patient’s medical record. Assigns appropriate ICD-10-CM, CPT and HCPCS codes as appropriate.
Supervises the Following Positions
Positions: N/A
Physical Requirements
• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
• Sitting- Continuously
• Walking- Frequently
• Standing- Frequently
• Bending-Frequently
• Squatting- Occasionally
• Climbing-Occasionally
• Kneeling-Occasionally
• Twisting-Occasionally

Visual and Hearing Requirements
• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance

Working Conditions
Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. Works in various conditions.
Performance: Essential Functions
Decision Making: Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.
Time Management: Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.
Quality & Quantity: Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output and time utilization of job duties.
Computer Knowledge & Electronic Equipment Use: Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.
Resource Utilization: Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.
Confidentiality: Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.
Performance: Position Specific Essential Functions
• Identifies principal diagnoses and procedures on all patient records; codes all appropriate diagnoses and procedures using ICD-10-CM, CPT codes, HCPCS, and modifiers and condition codes, when appropriate, using software via 3M, Encoder and Codelink.
• Audit all Locum Tenens charges and Level 5 services
• Open Help Tickets when needed according to department guidelines
• Maintain productivity standards as defined by manager
• Ensures work queues are processed in a timely and efficient manner
• Works cooperatively in a group setting as appropriate
• Clarifies documentation issues with physicians/providers via use of query process
• Inform appropriate team members of custom edits to be added to the Epic software
• Maintain coding certification, if applicable
• Work reports to better serve the business office.
• Observes, reinforces and is compliant with all clinic policies and procedures.
• Maintain current knowledge of job duties and appropriate business office procedures.
• Attends seminars, training sessions, and meetings as needed or requested.
• Distributes memos and information to employees, staff and physicians
• Perform other duties, as assigned.
• Serves as a liaison between administration, physicians, nurses, staff and other departments
• Reports problems or issues affecting office or clinic to administrator or other department managers
• Assist in implementing and communicating all coding and reimbursement changes to physicians and staff; assist staff with coding reimbursement problems.
• Keep abreast of current changes in coding requirement of third party payers.
• Performs other duties as assigned.

Qualifications
Education
• Required
• High School Diploma, GED, or equivalent
• Preferred
• Coding Certification

Experience:
• Preferred
• One year of experience in Physician Coding
• One year of experience in a Medical Office

Certification/Licensure: N/A