<p>JOB TITLE: Medical Coding Specialist</p> <p>DEPARTMENT: Healthcare Vertical: ACS</p> <p>REPORTS TO: Manager and/or Area Manager</p> <p>SUPERVISORY RESPONSIBILITIES: no</p> <p>JOB LOCATION: Mobile</p> <p>TRAVEL: no</p> <p>SUMMARY OF POSITION: Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement and minimizing denials.</p> <p>ESSENTIAL DUTIES & RESPONSIBILITIES:</p> <ul> <li>Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers </li><li>Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes. </li><li>Monitors regulatory and payer changes as they apply to diagnostic and procedure coding </li><li>Researches and resolves coding related system edits, payer rejections and insurance denials. </li><li>Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement. </li><li>Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material. </li><li>Other innovative and progressive duties as assigned </li></ul> <p>MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE): High School diploma or GED</p> <p>PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE):</p> <p>A successful candidate must have proficient knowledge/capabilities in the following areas:</p> <ul> <li>Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC. </li><li>High school diploma or equivalent required. </li><li>1-3+ years coding experience required, and outpatient physician and/or multi-specialty coding experience, preferred. </li><li>Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance. </li><li>Possess strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization. </li><li>Ability to work under general supervision </li><li>Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information. </li><li>Possess excellent telephone etiquette, presentation skills and problem resolution skills </li><li>Computer skills including Microsoft Office Suite </li><li>Must be highly organized and detail-oriented </li><li>Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information. </li><li>Cooperates fully in all risk management activities and investigations for QM purposes. </li></ul>