The Medical Coding Coordinator is primarily
responsible for reviewing outpatient clinical, diagnostic, and procedural
documentation to ensure accurate ICD10 and CPT code assignment. Medical Coding
Coordinators assist in establishing, implementing, and coordinating processes of
front line coding areas within the clinic to facilitate accurate and timely
submission of clean claims. This position will ensure coding practices follow
carrier specific acceptable CPT and ICD-10 coding standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Review and evaluate electronic medical records to ensure complete chart
documentation requirements and to determine accurate ICD10 diagnosis and CPT
Assign modifiers, or code edits as applicable.
Communicate with provider teams and/or clinic manager regarding visits
in need of correction or clarification.
Process incoming visits in the electronic billing queue in a timely
Create and maintain a library of coding and reimbursement policies/procedures.
Monitor regulatory and payer changes as they apply to diagnostic and
Educate team members, occasionally including physicians, as it pertains
to frequently changing mandated rules, regulations and guidelines to ensure complaint
Other duties as assigned.
EDUCATION AND/OR EXPERIENCE
degree from four-year college or university, or two to three years’ related
experience and/or training, or equivalent combination of education and
Ability to work with a variety of practice management software systems
to facilitate and support the billing and collections of the office; working
closely with the Business Office Manager.
Ophthalmology experience highly preferred.
Experience with CA payors highly preferred.
Ability to work independently in a fast-paced environment.
Ability to communicate effectively, both verbally and in writing
Proficiency with the Microsoft Suite (Outlook, Word, Excel) and ability
to learn EHR system.
CERTIFICATES, LICENSES, REGISTRATIONS
Registered Record Administrator, Accredited Record Technician, Certified
Coding Specialist, Certified Procedural Coder, or Master Procedural Coder
preferred, but not required.