Job Description
Job Type
Full-time
Billing And Coding Specialist Summary
Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty.
A Day in the Life
- Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable.
- Review incomplete encounters and code based on available documentation in EHR systems.
- Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS.
- Use computers / billing software to create and bill encounters that generate clean claims.
- Attend internal meetings relevant to EHR workflows and share best coding practices.
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