About this role
Role Overview
- The Medical Coding Edit Specialist position is responsible for resolving coding account edits of multiple patient types prior to billing
- Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes as appropriate from the documentation within the electronic medical record
- The Coding Edit Specialist is expected to maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
- Reconcile held accounts by resolving the edit and dropping the account
- Responsible for all account edits from various payors and vendors
- Identify and report major edit issues
- Assist in identifying problems and resolution thereof
- Identify opportunities to reduce coding edits by providing proactive education
- Communicates quality issues to management as appropriate
- Notifies management when there is a compliance concern or incident
- Demonstrates knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information
- Promotes confidentiality and using discretion when handling patient information
- Attends educational conference calls
- Provides additional support to the business as needed
- Maintains required productivity and quality requirements
- Maintains coding credential requirements
Requirements
- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 2 years’ coding experience preferred
- Must have up to date knowledge of third-party rules and regulations
- Epic & 3M experience preferred
- Must have facility (HB) IP/OP experience with Claims/Denials
Benefits
- excellent salary
- full benefits package including 401(k) with company match and discretionary profit sharing
- group medical, dental, vision, life, & short-term disability insurance
- PTO policy