Certified Coding Specialist- AZ- Clinic Finance

Certified Coding Specialist- AZ
- Clinic Finance

Join to apply for the Certified Coding Specialist- AZ
- Clinic Finance role at Midwestern University

Certified Coding Specialist- AZ
- Clinic Finance

1 week ago Be among the first 25 applicants

Join to apply for the Certified Coding Specialist- AZ
- Clinic Finance role at Midwestern University

Summary

• Reviews coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions
• Review electronic health records (EHR) to determine what information is appropriate for coding purposes
• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E & M coding guidelines
• Train and educate finance staff on billing and coding
• Participate in clinic coding assessments/audits, both internal and with external vendors
• Participate in the development of coding policies and procedures as needed
• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required
• Research coding/billing guidelines for new specialties
• Work in conjunction with the Assistant Manager and Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
• Assist in implementing changes directed by regulatory agencies
• Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and participating in professional organizations
• Other duties may be assigned

Summary

The Certified Coding Specialist protects and recovers the clinic’s patient reimbursement by acting as a coding/billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts. This position will report to the Assistant Manager of Patient Accounts.

Essential Duties And Responsibilities:

• Reviews coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions
• Review electronic health records (EHR) to determine what information is appropriate for coding purposes
• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E & M coding guidelines
• Train and educate finance staff on billing and coding
• Participate in clinic coding assessments/audits, both internal and with external vendors
• Participate in the development of coding policies and procedures as needed
• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required
• Research coding/billing guidelines for new specialties
• Work in conjunction with the Assistant Manager and Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
• Assist in implementing changes directed by regulatory agencies
• Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and participating in professional organizations
• Other duties may be assigned

Supervisory Responsibilities

This position has no supervisory responsibilities.

Qualifications

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. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Other Qualifications

The position requires strict…