Coding Specialist I - Professional Fee Coding

MedStar Health is looking for aCodingSpecialistto join our team with MedStar Physicians' Billing Services.We are seeking a CPC coder with at least 2 years of coding experience and strong ability to code Evaluation and Management services in the office, outpatient and inpatient setting: primary care, family medicine, urgent care, and/or pediatrics. Must have experience in working prebill claim scrubber coding edits and experience in working coding-related insurance rejections.

As aCoding Specialist I, you willensure that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtainoptimumreimbursement for servicesrendered. In addition to interacting with physicians on coding issues, youwill ensurethat physician encounter forms, theIDX billing system and MPBS processes are up to date and compliantregardingcoding issues.Assistsmanager asrequired.

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your nextgreat careermove!

Primary Duties:

• Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Accesses and understands coding software used by hospital coders, as a verification/cross check tool to ensure that technicalcomponentcoding done by hospital coders and professionalcomponentcoding is synchronized correctly on accounts involving both billing components (example: Radiology coding).

• Aids in the creation of training and educational coding guidance documents for physicians and MPBS Associates.Assistsin the maintenance of billing,coding,andeditingdictionaries in the billing system. Consistently meets or exceeds established Quality, Accuracy, and Productivity standards as defined by policies.

• Contacts physician when conflicting or ambiguous information appears in the medical record; requests diagnosis from physicians when not recorded in medical records.Determinesthe sequence of diagnoses foraccurateclaims submission.

• Employs knowledge of coding compliance, directs efforts to achieve quality standardsidentifiedthrough coding reviews or targeted by management for improvement.Identifiesand reports issues and trends in physician documentation and/or work routed to Coding from other departments.

• Maintains continuing education and credentials asrequiredfor job classification.Recommends policy and procedural changes and improvements for revenue enhancement.

Qualifications:

• High School Diploma or GED.

• 1 -2 years medical-professional coding experience withdemonstratedability to work independently.

• Certified Professional Coder (CPC) certification from AAPC.

• Bachelor's degree preferred.

• Consideration will be given toan appropriatecombinationof education, training, and experience.