Job Description

Coding Specialist

Business Office · Revenue Cycle Management
Plantation, FL
Health Care
Full Time, Days
Weekly Schedule: Monday 8-5Tuesday 8-5Wednesday 8-5Thursday 8-5Friday 8-5
Bilingual: None
Bilingual Type: N/A
Posted 11/07/2018
Req # 2257
    • The Coding Specialist is responsible for reviewing and applying applicable diagnosis, procedure codes, and modifiers as needed, in adherence with departmental policies for services provided by physicians and allied health providers.
    • This list may not include all of the duties that may be assigned.

    • Support the collections department to maintain the expected level of quality from a coding perspective. This includes reporting trends and recommendations for potential quality enhancements.
    • Performs coding audits as designed to maintain the integrity of the billing practice.
    • Communicates areas of improvement from a provider documentation standpoint and creates formal recommendations.
    • Meet and maintain all department and personal production goals as directed by the Manager.
    • Correction of daily coding errors/denials.
    • Participates in the ongoing review process, as directed by the Manager to assure the accurate application of CPT, ICD-10, and/or HCPC’s codes, the capture of all services provided, and that services which were not performed are not billed for.
    • Accurate coding of CPT, ICD-10 and Physician assignment of all medical records
    • Maintains continuing educational criteria for ongoing certification. Certification is the responsibility of the individual coder and verification of certification(s) or credentialing must be possible.
    • Comply with all company policies and procedures
    • Other duties as assigned
    • Education:
      • High school diploma or equivalent

    • Licensure:
      • CPC, CPC-H, CCS, CCS-P, or RHIT Certificates will be considered

    • Knowledge, Skills & Abilities:
      • Knowledge of billing and coding policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.) Skilled in defining problems, collection of data, interpreting billing information and provider documentation Ability to communicate effectively and clearly.

    • Experience:
      • Three years of coding experience in a medical environment preferred.

    • Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.
COMPANY OVERVIEW: Founded in 1955, Pediatric Associates is one of the oldest and most respected pediatric practices in the United States. Pediatric Associates opened its first office in Hollywood, Florida. The Company was one of the first medical groups to introduce satellite office locations in consumer retail locations. They were also one of the first pediatric groups to embrace managed care in the 1970s, collaborating with insurance plans as healthcare partners with the common interest of providing South Florida's children with the best healthcare available. Today, Pediatric Associates is a national leader in pediatric population health management with over 200,000 patients under global risk. Keeping abreast of medical advances and changing lifestyles, Pediatric Associate’s modern facilities offer comprehensive services, including X-ray and state certified laboratories. The Company currently has 33 neighborhood locations, which are staffed by more than 200 employed providers who proudly serve families throughout Miami-Dade, Broward, Palm Beach, St. Lucie, counties, including Tampa and Jacksonville. Pediatric Associates will continue to bring the best possible healthcare service to its patients well into the 21st Century. Ease of access, prompt courteous service and responsiveness to our patients' concerns will always be their primary goal. Pediatric Associates has continued to thrive and today is recognized as one of the premier general pediatric and population health management practices in the United States.

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