Under direct supervision the Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.
High School Diploma or equivalent (GED), Certification as a CPC or CCS-P and 3 years’ experience in production coding in a surgical setting or in a physician practice environment is required.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Deciphers operative reports and other physician medical record documentation to appropriately select codes and maximize charge capture. Ensures coding compliance with established standards and guidelines
2. Acts as liaison between the clinical and billing departments. Answers questions from billing in a timely manner
3. Responsible for ensuring quality, accuracy and timeliness of clinical data contained in patient’s medical record by reviewing and analyzing medical information provided by physicians for reimbursement, statistical and indexing purposes
4. Meets established productivity and proficiency standards
5. Attends coding seminars, hospital and departmental meetings as required or assigned. Actively participates in hospital educational in-services
6. Utilizes appropriate customer relation skills to ensure all customers are treated with respect and dignity and that the confidentiality of their data is upheld
As a University of Maryland Community Medical Group (UM CMG) employee, you will enjoy a comprehensive benefits program designed with you and your dependents in mind. Subject to any eligibility waiting period, all of the benefits are available to regular full-time employees and most benefits are available to regular part-time employees who are regularly scheduled to work twenty (20) or more hours per week. Many benefits are provided at no cost to employees. For others, the cost is shared between UM CMG and employees.
What You Need to Be Successful:
1. High School Diploma or equivalent (GED) is required
2. Certification as a CPC or CCS-P required.
3. Three (3) years’ experience in production coding in a surgical setting or in a physician practice environment required. Outpatient professional fee revenue cycle management experience preferred