Medical Coding Specialist: Precise Claims & Compliance

Vance Thompson Vision Clinic Prof L; Sioux Falls (SD); On-site; USD 52,000 - 74,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement contributions

Life insurance

Disability insurance

Shoe allowance

Education allowance

Wellness program with Lifestyle Spend.

Job summary

Vance Thompson Vision is seeking a Coding Specialist to review coding in the EHR for clinics and surgeries. You will ensure accurate CPT/ICD codes and assist with billing and denials.

The role emphasizes collaboration with clinical staff, ongoing audits, and education on proper documentation. A CPC is preferred, with at least two years of coding experience. Join a team focused on accuracy and patient care.

Qualifications

• Associates degree in Health Information Management.
• Minimum two years in medical coding.
• CPC certification preferred.

Responsibilities

• Reviewing coding from the electronic health record system for clinic and surgical claims.
• Evaluating surgery schedules, coding them, and billing to appropriate insurance.
• Reviewing different reports and completing monthly audits for all clinics.
• Answering daily incoming patient/internal phone calls and emails coming to the business office.
• Reviewing provider medical records to ensure CMS/AMA documentation compliance for CPT and NCCI edits.
• Reviewing insurance denials for possible coding corrections and resubmissions.
• Communicating deficiencies to clinical staff and guiding proper documentation.

Skills

Detail-oriented

Medical coding

CMS/AMA rules

Education

Associate degree in Health Information Management

Tools

EHR systems

Job description

Vance Thompson Vision is seeking a Coding Specialist to review coding in the EHR for clinics and surgeries. You will ensure accurate CPT/ICD codes and assist with billing and denials.

The role emphasizes collaboration with clinical staff, ongoing audits, and education on proper documentation. A CPC is preferred, with at least two years of coding experience. Join a team focused on accuracy and patient care.