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Coding Reimbursement Specialist I - Revenue Cycle

Date Posted: Feb 17, 2021
Charlotte, NC, United States
Job ID: 2606
Job Family: Medical Records Services
Status: Full Time
Shift: Day
Shift Details: Regular
Department Name: 51011028341054-Corporate Charge Operations
Location: Atrium Corporate Operations

Overview

JOB SUMMARY:    The Corporate Charge Operations Specialist I performs duties of low to moderate complexity, judgment, and scope.  This position is responsible for CPT/HCPCS coding and charge functions for various specialties and hospitals by review of clinical documentation.  S/he is responsible for the integrity of the charges and CPT/HCPCS coding assignments for optimization of revenue and coding compliance.  

ESSENTIAL FUNCTIONS:

 

  •  Applies basic knowledge of anatomy, physiology and terminology in order to independently interpret physician and nursing reports for   accurate code assignment. 
  •  Reviews patient medical records in order to identify and assign the appropriate CPTs, HCPCS and modifiers for the services rendered. 
  •  Enters coding and/or charge data for each procedure into the billing system and/or 3rd party application.  
  •  Meets established quality and productivity standards.
  •  Stays informed of most recent coding principles and regulatory guidelines in order to ensure most accurate code assignment.
  •  Studies, reports, and make recommendations regarding compliance and/or revenue improvement.  
  •  Maintains a positive and professional relationship with customers, co-workers, clinical staff and other related personnel.

PHYSICAL REQUIREMENTS:

Lifting and moving reports, notebooks and/or laptop weighing up to fifteen pounds.  Must be able to work independently, in a safe, productive and confidential office and/or home environment.   Ability to work under pressure to meet deadlines.  Must be able to concentrate and sit for long periods of time at a computer. Attention to detail, accuracy and ability to work effectively in a team setting and possess strong interpersonal skills are critical.  

EDUCATION, TRAINING, AND EXPERIENCE:

High school diploma or equivalent required.  AHIMA or AAPC coding certification is required within one year.  One to three years exposure to healthcare billing, revenue cycle and/or coding preferred.  Thorough understanding and knowledge of CPT/HCPCS and medical record interpretation required.  Basic knowledge of anatomy, physiology and terminology required.  Basic knowledge of computer applications such as Microsoft Office, Encoder, e-MR, etc. is required.  Must possess good written and verbal communication skills.  Must be able to work independently and effectively with others, utilizing positive interactive skills.