Coding Specialist REMOTE

About the Role

*REMOTE*

To support the company by providing clinical documentation and diagnostic results through proper CPT and ICD-10-CM and HCPCS codes for billing. Responsible for the Company Vision “To be the prominent urology practice with a reputation for delivering excellent and effective care in all urologic modalities. By providing full-service urology to the patients and communities we serve, there will be greater satisfaction as well as patient and physician loyalty which will allow continued success and growth.”

What You’ll Be Doing

Proficient in assigning accurate medical codes for diagnoses, procedures, and evaluation and management services according to the appropriate classification system for outpatient and inpatient encounters

Maintain knowledge of anatomy, physiology, and medical terminology commensurate with the ability to correctly code diagnoses and services

Review all clinical progress notes for accuracy and completeness; obtain any missing information from Providers and clinical staff members

Identify all chargeable items within each note and ensure proper CPT/HCPCS codes for each item

Correctly complete and submit CMS 1500 and UB04 claims daily for outpatient services as designated by CMS

Accurately enter all necessary modifiers on CMS 1500 claims

Review patient claims for demographic and coding accuracy and completeness; obtain and enter any missing demographic information

Assist the billing specialists in verifying and correcting coding issues per insurance requests or claim denials

Assist the Clinic Manager in the monthly financial closing process when necessary

Verify all requested medical records prior to release

Remediate Providers and clinical support staff

Maintain active Certified Professional Coder certification adherent to the most current code set for both International Classification of Disease and Current Procedural Terminology

Verify appropriate diagnostic and procedural coding through documentation review

Review billing from third party laboratories for accuracy

Adhere to coding guidelines and reimbursement reporting requirements

Ensures correct sequence correct / most accurate ICD-9/ICD-10 codes are assigned to diagnosis and procedures

Follow the Standards of Ethical Coding as set forth by the AAPC

Provide ongoing education to client practices as it relates to identified issues with coding and billing

Assist with claims corrections and denial resolution

Receives and responds to calls and notifications regarding medical record issues and orders

Reviews utilization of services and outcomes with administrators

Perform internal chart audits for documentation and coding accuracy and review encounter forms for coding accuracy

Willing to travel to other locations for business needs

Maintains strictest confidentiality

Performs related work as required

What We Expect from You

Two years of experience Coding in a medical practice or in a health insurance organization

High school diploma or equivalent

Certified Professional Coder (CPC) or Certified Coding Specialist- Professional (CCS-P) Certification

Excellent verbal and written communication skills

Claims processing skills

Electronic Medical Records Experience

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have thorough knowledge in computer information systems.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Travel

Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected.

What We are Offer You

At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters”

Compassion

Make Someone’s Day

Collaboration

Achieve Possibilities Together

Respect

Treat people with dignity

Accountability

Do the right thing

Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.

About US Urology Partners

U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.

U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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