Medical Coding Specialist


Advanced Pediatric Associates
3300 S. Parker Rd #404
Aurora, CO 80014
United States

Manages Others
No
Experience Required
Yes
Accepts NHA Certifications
Yes
Pay
From $22 To $24.50
Per Hour
Employment Type
Employee
Work Schedule
Full-Time
Travel
No Travel

Job Description
 Advanced Pediatrics is looking for a full-time (32 hours a week) Business Office - Coding Specialist II for reviewing provider charges and documentation to ensure maximum charge capture, coding compliance and required payer-specific information prior to claims submission. The Coding Specialist communicates regularly with providers, medical assistants, and business office staff as part of the revenue cycle team. The Specialist performs coding audits as part of the annual chart audit process for all providers as well as providing ongoing coding education. 
 
 

JOB DUTIES:  

  • Reviews charges and chart notes to ensure claims have captured all services provided and are submitted to payers with the correct CPT codes, ICD-10 codes, and modifiers
  • Communicates with providers regarding coding or documentation
  • Assist Business Office staff with correcting claims and submitting any appeals
  • Stays current on coding guidelines, CPT, ICD-10, and HCPS
  • Stays current with APA payer guidelines
  • Manages charge entry work queues to ensure prompt claims submission and meets APA charge entry guidelines
  • Manages chart audit process for providers and performs coding audits per APA schedule
  • Assists in the development of coding policies procedures and APA fee schedule
  • Assists in developing and communicating coding training education 
  • Assists Business Office Manager in developing charge entry guidelines
  • Assists Business Office Manager and Administrator with reports
  • Other duties as assigned
Job Requirements
JOB REQUIREMENTS:

Certified Coder
3-5 years medical coding experience
E&M coding experience
EHR/EMR experience, EPIC preferred
Strong computer skills including Microsoft Excel, Word, and PowerPoint
Experience in developing and presenting coding training education
Excellent communication and customer service skills

ESSENTIAL SKILLS:

Ability to effectively use the APA practice management system/EMR
Knowledge and understanding of the billing and collection process
Ability to manage a variety of tasks with attention to detail and accuracy
Strong interpersonal skills and ability to work cooperatively with other members of the business office team
Ability to effectively communicate coding principles, guidelines and recommendations to providers

WORK STANDARDS:

Perform duties in a timely and efficient manner
Be present and on time for work each day
Maintain confidentiality and adhere to all HIPAA privacy and security guidelines
Understand and follow APA policies and procedures
Keep work area clean and organized
Employer
Advanced Pediatric Associates
Allicia Cristinzio
3300 S. Parker Rd #404
Aurora CO 80014
United States
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