Billing and Coding Specialist

Columbia, MD
Jul 13, 2018
Jul 16, 2018
Accountant, IT
Full Time
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to): Coder Education: Conduct Coder QA and Education as part of identified remediation Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues Develop or review internal workflow or pathway directives that impact coding and charge capture Conduct coder Pre- production QA and education Provider Education: Documentation review and Feedback sessions Documentation template improvements Coding and Regulatory Updates related to Specialty coding and procedures Training & Curriculum: Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods. Maintain operational workflow pathways and assist coding leads as needed Maintain Coding resources shared library Other Job Responsibilities: Utilizes knowledge of revenue cycle, analyzes coding data to assist with QA selection process Assist in supporting teams with analysis and review of documentation for new business Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the company. Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural manuals. Adherence to Safety Regulations. Adherence to HIPAA Regulations. Maintain specialty certification CEUs, coding updates and all regulatory or payer guidance Other duties as assigned. REPORTING TO THIS POSITION: No direct reports JOB REQUIREMENTS (Knowledge, Skills and Abilities): Communicate well with the public Ability to read, write, and speak English EDUCATION/TRAINING/EXPERIENCE: The individual in this role must possess a National coding certification (AHIMA, AAPC) and have compliance auditing and Specialty Coding Education experience National Certification and Minimum of five years Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings. Proficient in MS Office including Excel, Word and Power Point Experience in Revenue Cycle and Claim processing Demonstrated superior presentation skills Experience managing multiple simultaneous clients or projects with a high level of attention to detail This position covers Maryland and Florida, travel is required PHYSICAL REQUIREMENTS: Requires prolonged sitting, some bending, stooping and stretching Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. Requires lifting papers and boxes weighing up to 35 pounds occasionally Requires dexterity to type at least 35 wpm. WORKING CONDITIONS (environment and safety): Work performed in office environment Involves frequent contact with professional staff and managed care organizations Work may be stressful at times Interaction with others is frequent and often disruptive

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