
Description
MedStar Health is looking for a Coding Specialist III with extensive experience in multispecialty surgical coding to join our team. To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and your CPC certification.
Job Summary - Ensures that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain optimum reimbursement for services rendered. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues. Assists manager as required. Mentors and reviews work of Coding Edit Specialist, Coding Specialist I and Coding Specialist II as required.
Education
- High School Diploma or GED required
- Bachelor's degree preferred
- Consideration will be given to appropriate combination of education, training and experience required
- 5-7 years Medical-professional coding experience with demonstrated ability to work independently required
- 2 years' experience leading others or leading a work stream required
- Experience with computer systems for encoding and abstracting required
- Additional years of experience strongly preferred
- CPC (Certified Professional Coder) certification required
- Demonstrated attention to detail accompanied by outstanding organizational skills.
- Ability to interact effectively with physicians, liaisons, department administrators, and associates.
- Ability to work independently and practice self-direction.
- Working knowledge of payer policies, CMS policies, local and national regulatory and compliance policies; regular utilization of all available coding resources.
- Ability to toggle between specialty coding disciplines, including ancillary services, Anesthesia, Emergency Medicine, Radiology, Pathology and others.
- Verbal and written communication skills.
- Basic computer skills preferred.
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