Coding and Auditing Specialist
This position is responsible for auditing a selection of charts for the various BHPG providers on a rotating basis and determining proper assignment of diagnosis and procedure codes for billing to both inpatient and outpatient procedures (laboratory, outpatient diagnostic, minor procedures, etc.) and professional evaluation & management (E&M) services rendered. Develops feedback to the providers based on the results of the report in a small group or one-on-one basis, as needed. Works with Physician Billing Office to resolve coding questions and assists with development of coding protocols for new services being billed by the practice locations.
Education / Experience: High school graduate or equivalent required. Bachelor's degree preferred or 5 years of comparable experience. Completion of coding program coursework in anatomy and physiology and related science courses preferred. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required. Certified Professional Coder - hospital outpatient facility (CPC-H), Certified Coding Specialist – physician (CCS-P) or additional specialty medical coding certification preferred.
License / Certification: CPC or CCS
Knowledge, Skills, and Abilities:
Knowledge of coding policies, procedures and reimbursement practices
Must have a working knowledge of CPT, ICD-9, ICD-10, modifiers and HCPCS codes and the application of each code set
Ability to work quickly and accurately, with attention to detail
Ability to perform analytical problem solving and basic math
Organization and time management skills
Ability to follow directions and establish priorities effectively
Self-directed and capable of working without direct supervision
Dependable in both production and attendance
Ability to work effectively with a wide range of customers in a diverse environment
Working knowledge of PC applications, Word, Excel, etc. Strong oral and written communication skills