Position Summary

The Certified Coding Specialist is responsible for reviewing medical charts and claims, resolving documentation and coding questions and issues and reporting results; gathering and analyzing information skillfully; and developing solutions.

Duties and Responsibilities

• Responds to requests for service and assistance and meets commitments in a timely manner.
• Responds to coding and documentation questions and assists the CBO in evaluating claim denial issues and to dispute or accurately rebill/reprocess claims where errors are identified
• Examines documents for missing information; corrects information as needed

• Assigns CPT, HCPCS, and ICD-10-CM codes
• Performs other duties as assigned.
• Acts with honesty and integrity in all business transactions, including, but not limited to, employment applications/resumes, patient records, time records, and financial transactions.

Experience, Skills and Education

• Education:
  • High School Diploma required; Associates Degree or Bachelors Degree preferred
• Experience and Requirements:
  • Documentation and coding experience of at least 2 years in a healthcare setting
  • Credentials in one or more of the following, required: Advanced Coding Specialist (ACS), Certified Coding Specialist - Physician (CCS-P), or Certified Professional Coder (CPC)
  • Experience with ICD-10-CM, CPT and HCPCS.
• Additional Knowledge, Skills and Abilities:
  • Ability to relay information in a positive format
  • Ability to work efficiently in a team or solo environment
  • Ability to work efficiently in a fast paced environment
  • Proficient with practice management software and overall knowledge of MS Office

Physical Demands

The physical demands and work environment characteristics described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While working the essential functions of this job, the employee is occasionally required to stand, walk, sit, lift, carry, use hands to handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds.

Work Environment

Admin - While performing the essential functions of the job the employee will work in an office setting.