Sr Physician Coding Specialist Remote

A Brief Overview

Under the direction of the Billing Supervisor - the Sr. Physician Coding Specialist monitors Coder Productivity, Train, Audit, Code Surgical Encounters, and be a Resource for Physicians and other Department within the system. Identifies trends with insurance related issues and reports findings to the Team.

What You Will Do

• Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and / or written follow-up on the identified accounts.
• Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
• Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines.
• Reviews and corrects coding rejections.
• May code ICD-9 from written documentation.
• May abstract CPT / HCPCS codes.
• May perform computer assisted coding functions.
• In depth knowledge of coding rules and payer guidelines.
• May code E / M services.
• Top performer in department productivity.
• Top performer in department accuracy.
• May perform auditing functions.
• May be assigned to complicated sub-specialties.
• Trains / mentors new coders.
• Assists staff when supervisor is not available.
• Requires minimal supervision.
• Effectively communicates coding trends and documentation requirements with physicians and practice managers.
• Maintains patient / physician confidentiality at all times and maintains effective communication and professional interaction with patients and physicians.
• Provides appropriate information and feedback to various personnel within UHPS. Supports and utilizes established departmental guidelines. Recommends additional research to other CBO departments.
• Identifies trends with insurance related issues and reports findings to the Team Lead.
• Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
• Interprets written correspondence and either resolves the problem or forwards it to another department for prompt resolution.
• Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries.
• Handles multiple tasks simultaneously.

Additional Responsibilities

Qualifications : Education

Work Experience

Knowledge, Skills, & Abilities

Licenses and Certifications

Physical Demands

Travel Requirements