Medical Coding Specialist

First Choice Emergency Room Irving , TX 75061

Posted 3 months ago

Company Overview-About Adeptus Health

Adeptus Health is a leading patient-centered healthcare organization expanding access to the highest quality emergency medical care through its network of freestanding emergency rooms and partnerships with premier healthcare providers. All Adeptus Health freestanding facilities are fully equipped emergency rooms with a complete radiology suite of diagnostic technology, on-site laboratory, and staffed with board-certified physicians and emergency trained registered nurses. For the last four years, Adeptus Health has exceeded the 95th percentile in patient satisfaction according to patient feedback collected nationwide by Press Ganey Associates Inc. Adeptus Health also was named a 2016 and 2017 Best Workplaces in Healthcare by Great Place to Work and Fortune Magazine. For more information, please visit adpt.com.

Responsibilities

Coders are responsible for the accuracy and timeliness of ensuring that all charges are coded appropriately and submitted for coding. Obtains medical information from facilities when required to code and post the claim(s). This is a non- exempt position.

Job Responsibilities and Duties

Essential Job Functions:

  • Responsible for coding superbills

  • Audit charge postings of coded superbills

  • Assist your team members as needed

  • Coordinates and participates in coding of pertinent medical information from a variety of complex records and billing edits to include diagnosis, treatment of illness and procedure performed while ensuring accuracy of work adherence to established coding procedure of ICD-10 (International Classification of Diseases) and CPT-4 (Current Procedural Terminology)

  • Researches and corrects denial claims needing further attention to resubmit as acceptable by the insurance carriers

  • Ensures each patient is given the highest level of customer service and every staff member is treated with the upmost respect

  • Communicates effectively, courteous and demonstrates a caring attitude with patients, families, team members and insurance carrier representatives at all times

  • Provides courteous, knowledgeable and timely service to co-workers

  • Researches and answers co-worker and/or patient questions and provide follow-up communication in a timely manner

  • Maintains strict confidentiality in accordance with HIPPA regulations and company policy

  • Any patient private health information must not be divulged on any account except to the Patient/Guarantor's insurance carrier that needs the information in order to process the claim for payment

  • Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties

  • Attendance requirements are based on your current role and status of position (FT, PT or PRN). Please direct attendance requirements to your immediate supervisor and/or refer to the Employee Handbook for more attendance/scheduling details/policies

Supervisory Responsibility:

There are no supervisor responsibilities required

Other Duties:

Please note this job description is not designed to cover in detail, or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Competencies

  • Attention to detail and excellent organizational skills

  • Time Management

  • Communication Proficiency

  • Technical Capacity

  • Customer/ Client focus

Qualifications

Education and Experience: At least 2 years of experience in a medical office CPC, CPC-H, CPC-A or CPC-H-A certified preferred; if not certified, must obtain certification within 12 months of employment Ability to abstract ICD-10-CM and CPTs from medical records required Knowledge in anatomy and medical terminology required Ability to meet and maintain 2.5 minutes per chart with an accuracy of 90% or greater Must incorporate excellent customer service skills in dealing with personnel, physician, peers and clients Must express information in a clear, concise and organized manner Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form Ability to define problems, collect data, establish facts, and draw valid conclusions Must use problem solving process in making business and personnel decisions Proficiency in Microsoft Office Must have excellent interpersonal skills


upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Hedis Medical Records Specialist

Morgan Stephens

Posted Yesterday

VIEW JOBS 1/17/2019 12:00:00 AM 2019-04-17T00:00 <strong>About us:</strong><br /> Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.<br />  <br /> <strong>Open Position:</strong><br /> The primary responsibility of the HEDIS Medical Record Specialist is to provide administrative, clerical, and scheduling support to HEDIS Abstractors conducting the Chart Review and Chart Abstraction portion of the HEDIS (Healthcare Effectiveness Data and Information Set) Audit.  The Specialist is responsible for providing basic administrative and telephonic support for the Quality Improvement department in order to meet deadlines associated within the project. The Specialist will work under the direction of the Team Lead to assist with requests for information by contacting provider practices. They will coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed, and other administrative functions.  A high degree of telephonic and in-person professionalism and team effort is expected to be maintained throughout the duration of the project.<br /> <br /> JOB RESPONSIBILITIES:<br /> Manage Medical Records<br /> medical privacy and confidentiality is maintained at all times<br /> records are stored in locked filing cabinets<br /> records are retrieved only as requested by staff and auditors<br /> research within the company’s claim systems to assist abstractors to identify provider location<br /> call members as directed to inquire about the provider of their care<br /> a high degree of professionalism in telephonic dialog must be maintained<br /> Process Documentation<br /> maintain office equipment such as fax, camera, scanner, computer<br /> retrieve previously scanned or filed information<br /> place telephone calls to provider offices<br /> oversee incoming and outgoing fax documents<br /> monitor faxed requests for records and replies<br /> copy, verify label, sort, prepare batches<br /> file, type, collate, distribute documents<br /> assemble and scan and/or upload documents<br /> Support Scheduling<br /> communicate with provider offices efficiently and accurately<br /> book appointments for HEDIS Audit Staff<br /> verify information, such as hours and address<br /> schedule HEDIS office reviews<br /> confirm next day appointments<br /> verify addresses for fax and mail<br /> maintain tracking log and calendar <br /> <br /> <br /> <strong>For More Information:</strong><br /> Visit <a href="http://www.morganstephens.com/">www.morganstephens.com</a><br /> Twitter: <a href="http://www.twitter.com/morganstephens0">www.twitter.com/morganstephens0</a><br /> Instagram: <a href="http://www.instagram.com/morganstephens0/">www.instagram.com/morganstephens0/</a><br /> Facebook: <a href="http://www.facebook.com/MorganStephens0">www.facebook.com/MorganStephens0</a><br /> Email: <a href="mailto:info@morganstephens.com">info@morganstephens.com</a><br /> <br /> <strong>Morgan Stephens ofrecemos reclutadores que hablan Espanol</strong> Morgan Stephens Irving TX

Medical Coding Specialist

First Choice Emergency Room