Medical Coder Specialist Job in Minneapolis, Minnesota

Position Summary: The Medical Coding Insurance Specialist utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to: medical coding, ensuring the accuracy of the information housed in the practice management system, submitting accurate claims, and following up on accounts. Supervision Received: Director of Business Operations Supervision Exercised: n/a Hours per Pay Period: 80 Classification: 1 Full-Time 0 Exempt Education and Qualifications: Required: • High School Diploma, GED, or suitable equivalent • Coding Certification from APPC or AHIMA • Minimum of one (1) year work experience as a Medical Coder Strongly Preferred: • Minimum five (5) years medical coding work experience working in healthcare; two (2) years medical coding work experience with geriatric populations • Knowledge of general accounting principles, revenue cycle processes, medical insurance, and associated regulations • High degree of accuracy and attention to detail • Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data; proficient in data entry • Customer service orientation and negotiation skills, including the ability to interface with third party payers • Excellent communication skills, both verbal and written • Proficient computer skills, including Microsoft Office applications Essential Job Functions: • Medical Coder Responsibilities: o Extracts relevant information from patient records o Liaisons with providers and other parties to clarify information o Examines documents for missing information; corrects information as needed o Assigns CPT, HCPCS, ICD-10-CM, and DRG codes o Ensures documents are grammatically correct and free from typing errors o Preforms chart audits o Answers questions, advises, and trains providers and staff on medical coding o Informs supervisor of issues with equipment and computer program o Ensures compliance with medical coding policies and guidelines; understands the application of each code set o Maintains current knowledge regarding coding and diagnostic procedures o Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews, as requested • Insurance Specialist Responsibilities: o Maintains practice management system by entering new patient data, billing information, Carrier correspondence, EOBs, and payments received into the system o Responsible for entering, reviewing, verifying, and maintaining all patient information in the practice management system, including verifying patient insurance information o Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits o Reviews RCM weekly and monthly reports and takes action steps as necessary o Provide productivity and financial reports as directed • Follows HIPAA guidelines when accessing and sharing patient information • Maintains patient and business confidentiality • Supports additional coding, billing, and practice management projects as needed • All other duties as assigned

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