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The role of the Medical Coding Specialist is to provide an accurate and complete review of professional charges processed for billing, insurance filing and revenue reporting.
Key Duties and Responsibilities
The Medical Coding Specialist is expected to perform position-related duties that include, but are not limited to:
Comply with all legal requirements regarding coding procedures and practices
Assign and sequence all codes for services rendered
Collaborate with billing department to ensure all bills are satisfied in a timely manner
Communicate with insurance companies about coding errors and disputes
Submit statistical data for analysis and research by other departments
Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures
Complete adjustments to patient accounts
Write protest/appeal letters to insurance companies
Other duties assigned by Billing Manager
The essential qualities necessary include, but are not limited to:
Patient and pleasant personality; works well with a variety of people
Flexible attitude; adaptable to new challenges and/or projects
Ability to work independently, with little supervision
Excellent public relations
Interfaces well with staff and physicians
Education / Experience
Minimum 5 years medical coding experience
Certification preferred prior to hire date
Excellent typing and 10-key speed and accuracy
Commitment to high level of customer service
Familiarity with ICD-10 codes and procedures
Ability to communicate clearly, and possess excellent phone skills in order to establish/maintain cooperative relationships with patients, Physicians and staff
Efficient gathering and effective comprehension of operative reports and proper compliance
Navigate and comprehension of computer software systems in office setting
Must maintain knowledge of clinic, insurance industry practices and medical terminology
Problem solving skills
Ability to read EOB’s (explanation of benefits)
Knowledge of CPT and ICD10 coding
Skill in basic data entry; 10-key proficiency
Ability to multi-task
Skill in organizing and reporting information that is accurate and complete
Knowledge of basic math skills
Understanding and respecting the need for confidentiality
Ability to maintain composure in stressful situations
Skill in establishing and maintaining effective working relationships with all staff
Ability to prepare records in accordance with detailed instructions
Ability to sit for long periods of time
Ability to communicate effectively in person and on the phone
Consistency and timeliness in attendance
NextGen/Amkai/EPIC knowledge desired
Requires corrected vision and hearing to normal range. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, and sit. Work is performed in an office environment. Some bending and stretching required. Use of telephone is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 25 pounds. Requires working under stressful conditions or working irregular hours.
The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
How we are protecting team members from COVID-19? Employee and patient health and safety is our top priority. At Proliance, we are adhering to CDC, State and local orders regarding COVID-19 and have implemented processes and precautions across our facilities to prevent the spread of COVID-19.
Following the most recent vaccination mandate for healthcare workers in Washington State, and our commitment to the health and safety of our employees and patients, all Proliance employees will be required to provide proof of full vaccination upon hire, or proof of a medical or religious exemption.
Proliance Surgeons offers a generous benefits package including Medical/RX, Dental, Vision, 401k with profit sharing and more! Plus ALL of our employees enjoy the free perks of our employee purchasing program offering a variety of discounts on purchases made every day – including cell phone service!
Proliance Surgeons is proud to be an equal opportunity employer. We are committed to creating an inclusive environment, and we welcome and encourage people of all backgrounds, perspectives, experiences, and skills to apply.
All employment decisions at Proliance Surgeons are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.