Coding Specialist

Medical Records Coding Specialist To use a knowledge of medical records coding rules, insurance and Federal, State and Municipal regulations and reimbursement rules. To have the ability to communicate clearly with personnel, patients, clients and insurance companies. To maintain and update coding and billing certification requirements. These duties and responsibilities described below represent the general tasks performed on a daily basis. Any other duties as needed to drive to the vision fulfill the mission and abide by the values of the organization. Attend required hospital-wide orientations, meetings, and in-services Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care Develop and/or update master file of procedure and diagnosis codes Update organization fee schedules as necessary Work with other members of the billing and reimbursement staff in identifying and correcting insurance claims Assign proper CPT and ICD-10 codes from the patient medical records for proper claims submission Process patient Accounts Receivable, insurance carrier Explanation of Benefits (EOB), denials and documentation requests as needed Post insurance and patient payments including any pertinent correspondence into the computer system Perform internal audits of billing and reimbursement procedures Perform internal chart audits for billing and coding accuracy Coordinate and cooperate with internal and/or external auditors during billing and organization audits Comply with all rules, regulations and procedures of the organization Process patient and insurance carrier telephone calls for account inquiries Perform any other job duties assigned by the Billing Department Manager or other Managerial Staff