Medical Billing and Coding Specialist

Full Time
Fort Worth, TX 76116
Posted
Job description

We are currently recruiting for a Coding Specialist to join our North Texas Coding team. The successful candidate will have experience in both primary care and multispecialty and be responsible for ensuring provider documentation is complete and supports provider code selection.

Primary Job Duties:

  • Answers internal and external complex coding email questions daily
  • Identifies coding trends to be escalated to coding education department
  • Applies correct CPT, ICD-10-CM, HCPCS, and diagnosis codes
  • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
  • Maintains compliance standards in accordance with the Compliance policies
  • Determines the final diagnoses and procedures as stated by the providers are valid and complete
  • Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
  • Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
  • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
  • Performs other related duties, which may be inclusive, but not listed in the job description

Knowledge of:

  • Federal laws and regulations affecting coding requirements
  • Principles, practices and methods of current coding certificate required
  • Knowledge of billing practices required
  • Knowledge of medical records, EHR required
  • Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
  • Must comply with all HIPAA rules and regulations

Qualifications:

  • High School Diploma
  • Coding Certification – AAPC Certified Professional Coder (CPC) certification is required
  • Excellent interpersonal skills
  • At least three years’ experience using ICD-10-CM, CPT and HCPCs coding
  • AthenaHealth EHR experience a plus
  • Interpersonal Skills & Attributes:
  • Establish and maintain effective working relationships with providers, management, clients and staff
  • Works in cooperation with corporate and clinic staff
  • Expresses ideas clearly and effectively
  • Responds calmly and maturely in high pressure situations
  • Positive attitude toward company, work, clients, management, and team members
  • Uses a customer-focused approach in dealing with conflict and resolution of problems

This is NOT a REMOTE position.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

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