Medical Coding Specialist (CPC) - Multispecialty & Eye

Midwestern University; Glendale (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Midwestern University in Glendale, AZ seeks a Medical Coding and Billing Specialist to ensure compliance with ICD-10, CPT, HCPCS, and Medicare guidelines. You will review EHR data for coding suitability, support provider education on documentation and charge capture, and assist in audits with internal and external vendors.

This role collaborates with the Assistant Manager and Manager of Patient Accounts to reach revenue goals and maintain the revenue cycle.

Qualifications

• High school diploma or GED required. Associate degree preferred. A minimum of 3-5 years of coding experience in a medical office setting and a CPC certification required.
• Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology required.
• Experience working with Medicare, Medicaid, Third party payers is also required. Expert in interpreting LCD and NCD coverage criteria.
• Knowledge of the revenue cycle, charge master, manual book coding/computer coding experience. Excellent interpersonal, communication and customer service skills are required.

Responsibilities

• Review coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions.
• Review electronic health records (EHR) to determine what information is appropriate for coding purposes.
• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E/M coding guidelines.
• Train and educate finance staff on billing and coding.
• Participate in clinic coding assessments/audits, both internal and with external vendors.
• Participate in the development of coding policies and procedures as needed.
• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts.
• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required.

Skills

Interpersonal skills

Problem solving

Attention to detail

Education

Associate degree preferred

High school diploma or GED required

Tools

Medical practice management software

MS Office (Word, Excel, Outlook)

Job description

Midwestern University in Glendale, AZ seeks a Medical Coding and Billing Specialist to ensure compliance with ICD-10, CPT, HCPCS, and Medicare guidelines. You will review EHR data for coding suitability, support provider education on documentation and charge capture, and assist in audits with internal and external vendors.

This role collaborates with the Assistant Manager and Manager of Patient Accounts to reach revenue goals and maintain the revenue cycle.