Job Description

General Summary of Position

MedStar Health is looking for a Coding  Specialist  t o join our team with MedStar Physicians’ Billing Services.  We are seeking a CPC coder with at least 2 years of coding experience and strong ability to code Evaluation and Management services in the office, outpatient and inpatient setting: primary care, family medicine, urgent care, and/or pediatrics. Must have experience in working prebill claim scrubber coding edits and experience in working coding-related insurance rejections.

As a Coding Specialist I , you will  ensure that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain  optimum reimbursement for services  rendered . In addition to interacting with physicians on coding issues, you  will ensure that physician encounter forms, the  IDX billing system and MPBS processes are up to date and compliant  r egarding  coding issues.  A ssists  manager as  r equired .

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next  great career move!

Primary Duties:

• Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Accesses and understands coding software used by hospital coders, as a verification/cross check tool to ensure that technical  component coding done by hospital coders and professional  component coding is synchronized correctly on accounts involving both billing components (example: Radiology coding).

• Aids in the creation of training and educational coding guidance documents for physicians and MPBS Associates.  Assists in the maintenance of billing,  coding, and  editing dictionaries in the billing system. Consistently meets or exceeds established Quality, Accuracy, and Productivity standards as defined by policies.

• Contacts physician when conflicting or ambiguous information appears in the medical record; requests diagnosis from physicians when not recorded in medical records.  Determines the sequence of diagnoses for  accurate claims submission.

• Employs knowledge of coding compliance, directs efforts to achieve quality standards  identified through coding reviews or targeted by management for improvement.  Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments. 

• Maintains continuing education and credentials as  required for job classification. Recommends policy and procedural changes and improvements for revenue enhancement.

Qualifications:

• High School Diploma or GED .

• 1 - 2 years medical-professional coding experience with  demonstrated ability to work independently.

• Certified Professional Coder (CPC) certification from AAPC.

• Bachelor’s degree preferred.

• Consideration will be given to  an appropriate combination of education, training, and experience.

This position has a hiring range of $23.19 - $40.61

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