The specialist is responsible for reviewing medical documentation and assigning accurate diagnostic radiology codes to ensure proper reimbursement. They must also resolve billing edits and denials while maintaining strict adherence to coding guidelines and performance standards.
Job Title: Coding Services Specialist Reports To: Coding Services Director Employment Type: Full-Time Location: Remote
Company Description Vee Healthtek is an expertise-led, technology-powered revenue cycle partner. We help healthcare providers turn rework into resilience. We engineer first-pass performance - work done right the first time, upstream, so denials are prevented rather than managed. We pioneered Open Accountability - making performance visible, aligning our success with providers', and earning renewal through results rather than lock-in. We exist to make the business of care - the revenue cycle resilient, so clinicians can focus on care and patients progress with confidence. To learn more, please visit www.veehealthtek.com
This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services. It will require maintaining hourly productivity standards and quality standards as set by Vee Healthtek, Inc. and Industry Standards. This position require attendance at department meetings via conference call and Microsoft Teams. Coding Work Queue assignment will vary based on business needs or management assignment.
Major Responsibilities:
Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT, HCPCS.
Review patient encounters for accurate code assignment of all relevant diagnoses and procedures and/or modifiers.
Review and check for CCI bundling edits as well as NCD/LCD edits.
Enter appropriate codes into the client’s coding program for the transfer of data to billing files for reimbursement.
Queries manager when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Essential Responsibilities:
Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI) as set for the by the client.
Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments. Review and provide resolution of edits/warnings. You will assign codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types.
Communicates with department manager on coding, compliance, and documentation issues.
Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
Within the scope of the job, requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
Follows guidelines for each project as set by the client.
Radiology coders must be able to code the following modalities: Level I, Duplex and Doppler ultrasounds, CT’s/CTA’s, MRI’s and Nuclear medicine at a minimum
Minimum Requirements:
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity
Detail-oriented with the ability to identify and resolve problems
Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
Ability to communicate clearly and work effectively with co-workers
Conduct self in an ethical, honest, and professional manner
Salary: $25.00 - $28.00/hour depending on experience. This position is eligible for full health insurance including medical/dental/vision, PTO, and a 401k match!
*A Coding Assessment Test will be administered before initial pre-screen.
*Must be a US resident and reside in one of the following states: Arizona, Connecticut, Florida, Georgia, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Texas.
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