Coding Specialist I - PNS Patient Accounting - Conway Medical Center
Conway, SC 29528
About the Job
Position Summary:
The PNS Coding Specialist I (CS I), will be responsible for accurately abstracting and assigning valid ICD, CPT codes to ensure appropriate reimbursement in accordance with federal and state regulatory guidance, for Provider Network Services. The CS I will determine the most appropriate diagnosis after a thorough review of the medical records and works closely with practice staff with regards to coding and assignment. The CS I will also review accounts to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission of billing for payment. The CS I will compare charges on accounts with the procedures coded and identifies and notifies Director any discrepancies. If an account is denied due to incorrect coding, the CS I will conduct medical records research and report finding to the Director of PNS Revenue Cycle. The CS I must be willing to report back to work during any emergency situation, this includes if needed during inclement weather, mass casualty, internal disaster, etc. The CS I will complete other duties as assigned.
Qualifications
Education:
- High school diploma required.
Experience:
- 3 months previous billing/coding experience required.
- Previous experience in Physician reimbursement preferred.
- Previous experience using an electronic health record preferred.
Licensure/Certification/Registration:
- Certificate of Medical Coding completion from a Medical Coding program.
- AAPC Certification must be obtained within six (6) months of employment.
Special Skills:
- Ability to work effectively and collaboratively with physicians, clinical and office staff personnel and ancillary hospital departments required.
- Exemplary core customer service skills strongly required.
- Strong organizational skills required.
- Strong PC skills required.
- Strong verbal and written communication skills required.
- Exposure to or knowledge of encoding software and impact of coding and reimbursement assignments required.
Source : Conway Medical Center