Medical Coding Specialist

Our take on this role

About this role

Link diagnosis and procedure codes to daily charges for a urology practice, audit provider documentation, and address insurance denials. Hybrid work options are available after a minimum of 90 days in office.

What could you bring from clinical work?

• Nurses: Your experience checking medical records for accuracy and completeness could help with auditing provider documentation.
• OTs: Documenting diagnoses and services using ICD-10 and CPT codes may help you learn to link diagnosis and procedure codes for billing.
• PTs: If you've documented medical necessity to address reimbursement requirements, that experience could help when working insurance denials to aid appeals.
• SLPs: Experience explaining clinical documentation requirements could help you provide education to providers as needed on documentation and compliance standards.

Full job description from Minnesota Urology P.A.

Minnesota Urology is looking for a dedicated Coding Specialist to join our team!

Monday- Friday

No Weekends, Holidays, or Evenings

Eligible for Hybrid Work Options after minimum of 90 days in office

POSITION TITLE: Coding Specialist

DEPARTMENT: Business Services

REPORTS TO: Business Services Manager

PRIMARY OBJECTIVE:

To accurately link ICD-10, CPT and HCPCS codes to daily charges, ensure ICD-10, CPT and HCPCS codes are updated and reviewed regularly for accuracy, monitor physician and physician extender coding practices, and ensure that all charges are accounted for and entered in a timely manner.

RESPONSIBILITIES:

• Monitors daily flow of office, hospital, and laboratory charges to ensure accuracy and timeliness of entry.
• Verifies and audits provider documentation.
• Provides feedback and education to providers as needed to ensure documentation and compliance standards are met.
• Links ICD-10 codes to CPT and HCPCS codes correctly and completely prior to processing for billing, insurance filing and revenue reporting.
• Maximizes reimbursement through correct coding utilizing ICD-10, CPT, and HCPCS.
• Works insurance denials with prompt turnaround to aid in appeals.
• Provides complete and accurate information to patients requesting coding and pricing guidance for care and coverage.
• Attends various external meetings/conferences/seminars to enhance professional development and growth on a regular basis.
• Other duties as assigned.

ESSENTIAL SKILLS/ABILITIES TO EFFECTIVELY PERFORM RESPONSIBILITIES:

• Represent Minnesota Urology in a professional manner related to appearance, communication and the maintenance of patient and company confidentiality.
• Ability to work as a team member.
• Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.
• Ability to effectively incorporate the use of technology into day-to-day tasks (Outlook, Microsoft Office Suite, NextGen and UroChart).
• Alpha and 10-key proficient
• Ability to examine medical documents for accuracy and completeness.
• Ability to prepare records in accordance with detailed instruction.
• Ability to analyze work methods to effectively organize work, make improvements, and correct problems.
• Ability to multi-task and switch gears based on workflows and situations requiring immediate action.
• Remain up-to-date and knowledgeable of coding procedures as well as remains current with federal legislative changes that affect outcomes.
• Knowledge of basic insurance policies, procedures and reimbursement practices
• Supportive of the goals and objectives of Minnesota Urology.
• Consistent attendance and punctuality.

EDUCATION/TRAINING/LICENSURE:

• Completion in one of the following programs required within first year of starting in the position:
• CPC through AAPC
• CCS though AHIMA
• RHIT through AHIMA
• RHIA through AHIMA
• Two or more years of coding experience preferred.
• Previous independent specialty physician practice experience preferred.
• Previous EMR experience required. Experience with UroChart and Next Gen Practice Management System preferred, not required.

Minnesota Urology P.A. is an Equal Opportunity Employer.