Physician Coding Specialist II

Responsibilities Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. Analyzes outstanding insurance accounts on a daily basis and in accordance with established time frames. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts. Communicates with payors and other internal departments to obtain critical information impacting claim resolution. Researches and responds to all inquiries from the customer service department in a prompt, professional manner. Reviews and corrects coding edits and denials. May code ICD-10 from written documentation and abstract CPT/HCPCS codes. May perform computer assisted coding functions. Consistently meets department productivity and quality standards. Maintains patient/physician confidentiality and effective communication with patients and physicians. Provides information and feedback to various personnel within UHPS. Requirements High School Equivalent / GED (Required) 2+ years of medical billing experience (Required) Billing experience in a multi-specialty group is a plus. (Preferred) Excellent interpersonal skills to work in partnership with others to influence and gain cooperation. (Required proficiency) Ability to recognize, evaluates, and solves problems. (Required proficiency) Strong verbal and written communication skills. (Required proficiency) Extensive knowledge of the claims development process, as well as third party insurance program requirements. (Required proficiency) Must possess basic knowledge of ICD-9 and CPT coding. (Required proficiency) Ability to handle a variety of tasks with speed, attention to detail, and accuracy. (Required proficiency) Computer literate, experience with basic software packages. Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P (Required) Certified Coding Specialist (CCS) or CCS-P (Required) Registered Health Information Technologist (RHIT) (Required) Registered Health Information Administration (RHIA) (Required) RCC (Preferred) or ROCC (Preferred) #J-18808-Ljbffr