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Coding Specialist Job in Clarksville, Tennessee

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Job Title: Coding Specialist

Employer:Premier Medical Group
Job Location:Remote
Preferred Certifications:CPC
Required Experience:1 to 2 years
Location:490 Dunlop Lane Clarksville 37043, TN, US
* Note: This listing is for a remote position
Date Posted:9/16/2021

Job Purpose:  The Coding Specialist is a key member of the CBO Team. This position is responsible for providing coding audits for the physicians within the group, serving as a coding resource for the Central Billing Department, and reviewing charts to make coding recommendations for inpatient and outpatient claims. 

Essential Functions: (Examples of Duties)

1.     Follow Audit Calendar with emphasis on following PMG E&M Coding Compliance Plan.

2.     Identify missed or unbilled procedures during audit.

3.     Review findings of audit with physicians and mid-level providers.

4.     Provide the Central Billing Office and multi-specialty sites coding resources by providing answers to questions.

5.     and/or providing documentation to support coding regulations.

6.     Additional specialty or physician directed audits as requested.

7.     Coding hospital, surgical, and specialty procedures (CPT) and diagnosis (ICD-10).

8.     Provide feedback to CBO manager regarding compliance issues.

9.     Review of adjustment requests from CBO with coding related denials.

10.  Review of ICD-9, CPT, and HCPCs code changes annually.

11.  Assist with coding denial trends by payor.

12.  Provide overall support with respect to coding, compliance, and documentation requirements.

13.  Charge Posting.

14.  Other duties as assigned.


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