Job Type

Full-time

Billing And Coding Specialist Summary

Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty.

A Day in the Life

• Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable.
• Review incomplete encounters and code based on available documentation in EHR systems.
• Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS.
• Use computers / billing software to create and bill encounters that generate clean claims.
• Attend internal meetings relevant to EHR workflows and share best coding practices.
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