Billing and Coding

Humanitary Medical Center, Inc. is seeking an experienced Medical Coding Specialist to enter billing and coding information. They are responsible for ensuring that patient records have the correct codes and managing insurance billing. In addition, the job duties include contacting insurance companies and reviewing medical records.EXAMPLE OF DUTIES:Assign code to diagnoses and procedures, using International Classification of Diseases, Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codeEnsure codes are accurate and sequenced correctly in accordance with government and insurance regulationsWork closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis resultsAnalyze issues where understanding situations or data, requires in-depth knowledge of organizational objectivesRetrieve and collect physician background info from various resources for reporting and relevant information from patient records.Follow up with the provider on any documentation that is insufficient or unclearExamining documents for missing informationEnsuring documents are grammatically correct and free from typing errorsCommunicate with other clinical staff regarding documentationAdvising and training physicians and staff on medical codingComplying with medical coding guidelines and policies per CMS and regulatory guidanceReview patient's charts and documents for verification and accuracyDevelop, modify, and execute company policies and procedures that affect immediate operations and may also have organization-wide impactImplement strategic policies, while selecting methods and evaluation criteria for obtaining accurate resultsPerforms other duties as assigned by the supervisor and/or managerDESIRABLE KNOWLEDGE, ABILITIES AND SKILLSAbility to analyze malpractice claims by identifying issues, events, diagnoses, and procedures that resulted in the actionAbility to prepare summaries and assign the appropriate codes that applyAbility to review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the synopsis as neededAbility to make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashionAbility to interact with claim staff, attorneys, and physicians regarding reports as-needed basisAbility to understand medical termsAbility to work in a face paced always changing environmentAbility to work on software applications systems and a willingness to learnAbility to use a computer and electronic medical recordAbility to pay attention to the minute details of a project or taskAbility to adapt easily to changing conditions and work responsibilitiesAbility to complete assigned tasks under stressful situationsEstablishes and maintains effective working environmentExcellent communication skills, both verbal and written.Excellent people skills while following medical centers policies and procedures.Maintain a high level of integrity and confidentiality of patient medical information, team member and employer confidentiality. Comply with all HIPAA regulations.MINIMUM TRAINING AND EXPERIENCEHigh School Diploma or GED requiredCertified Professional Coder (CPC)2 + years of relevant experience in managed care requiredProficient computer skillsKnowledge of data entry and transcriptionProficient in both English and SpanishHumanitary Medical Center Inc. complies with all federal, state, and local laws prohibiting employment discrimination of any kind. Humanitary Medical Center Inc. is an at-will employer and can terminate its employment relationship at any time, with or without cause, and without notice.Benefits:401(k)Dental insuranceHealth insurancePaid time offVision insurance