Senior Medical Coding Specialist

Company: VirtualVocations
Location: Jamaica
Posted on: September 21, 2023

Job Description:

A company is looking for a Senior Medical Coding Specialist with RN or Workers' Compensation experience preferred.
Key Responsibilities:

Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of treatment
Assist management in daily operations and processes within the department
Design and participate in the clinical and coding education of coders, negotiators, and physicians

Required Qualifications:

Completion of educational curriculum required of medical license or coding certification held with Bachelor's Degree preferred; and at least 5 years of coding experience
Current nursing certification, coding credential (CCS, CCS-P or CPC), or Registered Health Information Technician credential (RHIA/RHIT) required and maintained as a condition of employment
Minimum 5 years experience in direct patient care, medical procedure billing, medical insurance auditing, line item review, audits, coding, and/or reimbursement
Extensive knowledge of inpatient/outpatient hospital billing including UB-04s, revenue codes, itemization of charges, CPT codes, HCPCS codes, ICD-10 diagnoses and procedure codes, DRG, APCs
Knowledge of payer reimbursement policies, state and federal regulations, medical necessity criteria and applicable industry standards

Keywords: VirtualVocations, Hempstead , Senior Medical Coding Specialist, Healthcare , Jamaica, New York