Coding Specialist
Job description
Established in 1991 and with over 25 years of experience, Mt. West Family Health Center is a busy, well established and thriving family medicine clinic with 4 locations in the El Paso, TX area that offers full-time opportunities.
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Education and Experience:
- Possession of an Accredited Record Technician’s certification (ART) or Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association; or
- Two years of experience in medical record coding, or the;
- Equivalent combination of experience, education, and training that would provide the required knowledge and abilities.
- Bilingual in English and Spanish
Job Summary:
The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), the American Medical Association’s Current Procedural Terminology Manual (CPT), and the Healthcare Common Procedure Coding System (HCPCS).
Duties/Responsibilities:
- Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
- Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM, CPT, and HCPCS codes.
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- Reviews claims for completeness and accuracy before submission to minimize claim denial.
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- Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
- Provides technical guidance in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
- Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
- Educates and advises on proper code selection, documentation, procedures, and requirements.
- Identifies training needs, and reports findings to immediate supervisor.
- Process payments from patients for co-pays and uninsured visits
- Assists patients with insurance papers and billing questions.
- Maintains a clean and neat workstation/environment.
- Other job-related duties, and/or as assigned.
Required Skills/Abilities:
- Knowledge of ICD-9-CM, CPT, and HCPCS coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare guidelines.
- Proper English and Spanish grammar and usage.
- Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
- Ability to read and interpret medical procedures and terminology.
- Ability to train staff
- Ability to exercise independent judgment.
- Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships
- Personality and demeanor to deal with the public and assist ill, older, or distraught patients.
- Ability to maintain confidentiality.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Job Type: Full-time
Pay: From $12.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- ICD-10: 1 year (Preferred)
Language:
- English and Spanish (Preferred)
Work Location: In person
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