Job Description

Job Description

Job Description

The Staff Pad is looking for a Revenue Cycle Coding Specialist to join our clients healthcare team in Dallas, Texas. In conjunction with a third-party revenue cycle management vendor, the Coding Specialist will contribute to the day-to-day operations of all the revenue cycle functions relating to the coding needs of the companies. The Coding Specialist will provide review and support for all physician compensation corrections requests and will provide analysis, create written processes, and train others to implement a cross-functional coding/revenue cycle team.

Scope of Coding Specialist

• Coding – auditing, training,
  
• Expert resource for the Clinical Compliance Committee
  
• Expert resource for the ECB Committee
  
• Auditing of coding/management of any outsourced coding audit functions
  
• Management of correct coding used within the practice
  
• Compensation Correction facilitation
  
• MedSuite edit management and auditing
  

Principle Responsibilities

· Interface with the third-party revenue cycle vendor on all coding policies and questions

· Review and coordinate responses for incident management within the practice management system including highlighting and creating education when necessary to limit incident volume

· The management of the coding audit vendor's workload, performance, and any necessary meetings

· Comp Model oversight and corrections as needed including education back to practitioners as indicated

· Responsible for updating coding changes within the systems

· Maintain the ongoing education of the Clinical Compliance Committee if coding changes

· Work with Finance about potential financial changes to updated codes

· Development of charge sheets or other supporting documentation needs for all practices

· Development, revising, and training on policy and procedures related to coding

· Facilitate expertise and staff training within the Practice Management System

· Assist in the research and policy development for revenue cycle work flow policies and procedures as needed from time to time with payer coordination

· Support the Graphium set-up for practices and the accurate and complete representation of quality data for reporting needs

· All other duties as assigned

Key Skills:

• This role requires the ability to communicate professionally with clinicians, administrative staff, contractors, governmental agencies, insurance payers, surgeon offices, patients, family members of patients, suppliers, and the general public, of all age levels from children to senior citizens.
  
• Professional communication and organizational skills; able to keep administrative and clinical leadership informed on findings, actions, and issues
  
• Identify patient reimbursement issues, ensuring that claims, denials, and appeals efficiently process and resolve billing-related issues
  
• MSOffice application experience and expertise
  
• Coding experience in Anesthesia and procedure codes
  
• Knowledge of professional medical terminology, fee billing, reimbursement, and third-party payer regulation is required
  
• A high degree of personal organization and self-management, and a professional demeanor
  
• Ability to think proactively and laterally to maximize opportunities to promote the work of the organization
  
• Knowledge of regulations related to Medicare, Medicaid, and commercial insurance
  
• Ability to adapt and embrace new technologies
  
• Knowledge of HIPAA, confidentiality, and privacy requirements
  
• Strong customer service skills
  
• Skill in writing policies and procedures
  
• Skill in using healthcare software and computer systems; MedSuite system is preferred
  
• Multitasking skills; Problem-solving skills
  

Required Qualifications:

· AHIMA or AAPC Certification

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