Coding Specialist

Job Description

SUMMARY:

The Coding Specialist is responsible for performing the following duties in an efficient and effective manner. ETSU Health is a multi-specialty medical group, with coding positions available for various specialty offices. Position is a hybrid position, being able to work 2 days a week from home, after successful completion of a 90-day introductory period.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

*Include the following. Other duties may be assigned.*

• Reviews the medical records, determines appropriate services to be coded (ICD-10-CM, CPT, and/or HCPCS) for each billing record and applies.
• If working in the Primary Care offices, reviews documentation for diagnosis coding specificity for Hierarchical Condition Category Coding (HCC Coding).
• Organizes work for accuracy and effectiveness to ensure compliance of proper billing and coding procedures of third-party carriers and to ensure complete and accurate reimbursements.
• Reports any concerns/problems regarding billing and makes recommendations to Administrator for solutions.
• Stays current with changes in coding guidelines.
• Performs related work as required.

EDUCATION AND/OR EXPERIENCE:

CPC recommended or five years coding experience/auditing from medical record documentation.

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EOE/AA/M/F/Disability/Vet

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