Regional Coding Specialist Job Northern Kentucky USA,Healthcare

Location: Northern

The Regional Coding Specialist is responsible for carefully reviewing charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines.

Required Education,

Skills and Experience:

Medical Coding Certificate preferred
Minimum of two years of medical coding experience
Strong computer skills, including data entry, coding, and experience with Electronic Medical Record (EMR) software
Accurate and precise attention to detail
Goal-oriented, organized team player with the ability to work independently
Ability to multitask, prioritize, and manage time efficiently
Understanding of medical terminology, anatomy, and physiology
Proficient knowledge of computers and software, including:
- Microsoft Windows OS
- Google Docs
- Microsoft Word
- Microsoft Excel

Preferred Education,

Skills and Experience:

Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)
Certified Billing and Coding Specialist (CBCS) by the National Health career Association (NHA)
Qualified Medical Podiatry Coder (QMPC) by QPro

Essential Functions/Responsibilities (other duties may be assigned):

Receive and review charge tickets, patient charts, and supporting documentation for accuracy and completeness
Review and assign missing CPT, HCPCS, ICD-10-CM, and modifier codes to claims
Ensure codes are accurate, current, active, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines
Identify and report missing, incomplete, insufficient, or unclear documentation
Follow up with physicians regarding documentation that is insufficient or unclear
Communicate with physicians and other clinical staff regarding documentation and coding requirements
Research and resolve complex or unusual coding cases
Serve as a resource for coding questions and insurance-related resolutions
Meet established daily coding production and quality standards
Update and maintain document lists and other coding-related records
Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations, health plan reimbursement requirements, and coverage policies
Identify recurring system errors, workflow issues, and training gaps and assist with root cause analysis and resolution
Perform additional duties as assigned by the supervisor

Benefits Offered:

Health Insurance (Single & Family plans available)
Life Insurance
Disability Insurance
401(k) plan with Company Match
Employee Discount Program
Paid Time Off
Paid Holidays

Qualifications Behaviors Required Team Player

: Works well as a member of a group

Preferred Detail Oriented

: Capable of carrying out a given task with all details necessary to get the task done well

Motivations Required Growth Opportunities

: Inspired to perform well by the chance to take on more responsibility

Flexibility

: Inspired to perform well when granted the ability to set your own schedule and goals

Self-Starter

: Inspired to perform without outside help

Licenses & Certifications Required

Medical Coding

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.

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