Medical Coding Specialist

Responsibilities

• Assign appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to diagnoses and procedures, ensuring codes are sequenced correctly according to government and insurance guidelines.
• Thoroughly review patient medical records and documents to ensure accuracy and completeness of coding.
• Adhere to HIPAA and PHI requirements, working effectively with sensitive and confidential material.
• Collaborate with providers to address any insufficient or unclear documentation, seeking additional information as needed.
• Investigate and research complex or unusual coding cases to ensure accurate coding practices.
• Utilize the Athena software efficiently to facilitate medical coding and billing processes.

Qualifications

• Ability to manage high volumes of coding with exceptional attention to detail and strong organizational abilities.
• Excellent command of English, both oral and written.
• Demonstrated good comprehension skills to understand complex medical documentation.
• Maintain a high level of confidentiality and regard for patient privacy.
• Exhibit a problem solving attitude and a willingness to work collaboratively with the healthcare team.
• Willingness to work flexible schedules, including holidays and weekends, as needed.
• Ability to work independently with minimal supervision, while still maintaining accuracy and attention to detail.
• Capable of handling multiple demands and changing priorities in a fast paced healthcare environment.
• Able to work effectively and respectfully with a diverse staff and patients.
• Proficiency in MS Office Word, Excel, PowerPoint, Outlook, and Athena software.
• Good understanding of HIPAA and PHI requirements.

Screening Criteria

• University degree in any related field.
• At least one (1) year experience in medical coding or auditing in an outpatient setting
• At least one (1) year experience with Athena software
• Must have a stable employment history.