Employer: | Conway Medical Center |
Type: | Full-Time, |
Skills: | Abstracting,Coding,Auditing |
Specialties: | Physician Reimbursement |
Required Certifications: | CPC,AAPC |
Preferred Certifications: | AAPC |
Location: | 300 Singleton Ridge Road,Conway 29528, SC, US |
Date Posted: | 11/11/2020 |
Position Summary:
The PNS Coding
Specialist II (CS II), will be responsible for accurately abstracting and
assigning valid ICD, CM, CPT codes to ensure appropriate reimbursement in
accordance with federal and state regulatory guidance, for Provider Network
Services. The CS II will determine the most appropriate diagnosis after a
thorough review of the medical records and works closely with practice staff
with regards to coding and assignment. The CS II will also review accounts to
ensure that assigned codes meet required legal and insurance rules and that
required signatures and authorizations are in place prior to submission of
billing for payment. The CS II will compare charges on accounts with the
procedures coded and identifies and notifies Director any discrepancies. If an
account is denied due to incorrect coding, the CS II will conduct medical
records research and report finding to the Director of PNS Revenue Cycle.
Qualifications
Education:
- High
school diploma required.
Experience:
- A minimum 1 year
previous experience in physician reimbursement required.
- Previous
experience using an electronic health record preferred.
Licensure/Certification/Registration:
- Certified Professional Coder (CPC) by an
accredited certifying agency required. (preferably AAPC)
Special Skills:
- Ability to work
effectively and collaboratively with physicians, clinical and office staff
personnel and ancillary hospital departments required.
- Exemplary core
customer service skills strongly required.
- Strong
organizational skills required.
- Strong PC skills
required.
- Strong verbal and
written communication skills required.
- Exposure to or
knowledge of encoding software and impact of coding and reimbursement
assignments required.
Working Conditions
- Stress
level high due to multiple demands frequently occurring simultaneously.
- Physical
surroundings pleasant and comfortable
- Generally
contained office type environment
- Most
work performed while sitting, however, a moderate amount of walking and moving
around within a confined area occurs
Physical Requirements:
Light-Medium - While
performing the duties of this job, the employee is frequently (activity or
condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk;
frequently to use hands, fingers; and frequently to talk or hear. The employee
must exert 15 to 20 pounds of force occasionally (activity or condition exists
up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or
greater than negligible up to 5 pounds of force constantly to move objects.
Specific vision abilities required by this job include close vision, distance
vision, color vision, peripheral vision, depth perception, and the ability to
adjust focus. Ability to hear to process
instructions and safety code and alarms required. The physical demands
described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job and will be assessed
by post offer Employee Health fit-for-duty review.