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Coding Specialist Job in Norfolk, Virginia

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Job Title: Coding Specialist

Employer:Eastern Virginia Medical School
Required Certifications:CPC
Required Experience:3 to 4 years
Location: Norfolk 23501, VA, US
Date Posted:10/7/2020
This position is responsible for reviewing and assigning appropriate ICD-9, ICD-10 and CPT codes to incoming work (services rendered by providers.), thereby maximizing reimbursement received from third party payors.  This position is responsible for assisting with physician/staff education based upon EVMS Medical Group Compliance Guidelines, HCFA Teaching Physician Guidelines, coding guidelines and results of chart audits. Assist with conducting internal departmental mini-audits to ensure inpatient and outpatient medical records contain sufficient documentation to justify the frequency and type of services being billed to carriers and patients.

  • Conduct monthly provider and staff coding and compliance education classes as needed/requested.
  • Assist with recommendations on implementing procedures for compliance within the surgery setting.
  • Assist as needed to develop Surgery compliance, coding, and billing policies and procedures based on the EVMSMG Compliance Plan and the HCFA Teaching Physician Guidelines.
  • Review and “work” monthly denials and Medical Group Spread sheets
  • Process/key physician charges
  • Ongoing review of compliance, coding, and billing, literature and guidelines effecting academic medicine and surgery practice.
  • Performs internal quality assurance charge/chart audits in a timely and consistent manner on both outpatient/inpatient services and surgical services.
  • Researches and assign the appropriate CPT/ICD-10 code based on the physician’s dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
  • Audits and reviews the appropriateness of the CPT and ICD-10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
  • Functions as liaison between the physicians, the data entry staff and the Medical Group Billing Office to communicate and/or educated regarding the appropriate use of the procedural and diagnostic coding process.
  • Review monthly charge allowance reports to ensure utilization of appropriate fees in such a manner that reimbursement is maximized.
  • Supervise the charges being entered into patient record adhering to carrier regulations.
  • Each record reviewed for quality and content with special emphasis on:
    • History and examination
    • Procedure and diagnostic linkage
    • Medical decision making
    • Selected code
  • Completes and follows up on missing Information from Physicians when the information provided does not support the services rendered.
  • Coordinates the activity of coding and data entry to ensure their accuracy as they relate to the billing process.
  • Performs other duties as assigned.

Associates degree plus 4 years’ experience working with CPT/ ICD-9 & ICD 10 coding and a comprehensive understanding of all insurance types and requirements. Current CPC certification is required and must be maintained annually.  Surgery coding experience a plus.

EVMS is an equal opportunity/affirmative action employer of minorities, females, individuals with disabilities and protected veterans and is a drug and tobacco free workplace. 


Applicants must apply directly on the EVMS web site.


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