Coding Specialist

Job Title: Coding Specialist

Hourly Rate: $4.00 – $4.50 / HR

Start Date: ASAP

Full Time

Company Overview:

We are a company built on trust and loyalty. MBVA 24/7 started in 2018 and has continuously fostered skilled and talented Virtual Assistants for many clients. Our team of virtual assistants provides services all over the US, and we sure won’t be stopping there! Our main office is located in Arizona and Manila. We have a legion of virtual assistants all over the Philippines who work directly with our clients.

Our clientele ranges from doctor’s offices to publishing companies. We make sure that our Virtual Assistants get all the training they need for a seamless partnership with our clients. MBVA 24/7 is committed to providing only the best to our partners.

We are here for you. Our purpose is to help you in succeeding in the medical and business virtual world and we won’t stop until you get there!

Position Overview:

Coders will follow the coding guidelines of Medicare and Medicaid guidelines and possess the

knowledge of medical terminology, coding systems, usage of coding tools and books, to help

improve efficiency and maximize revenue for the organization. The Coding Specialist is

responsible for accurately translating medical services into billing codes, assigning the

appropriate rules and regulations relating to the position, and ensuring timely reimbursement for

services rendered. The coder must know CPT, HCPCS, and ICD-10 diagnostic and

procedural codes.

Job Responsibilities:

 

• The coding Specialist is responsible for reviewing, and abstracting CPT, HCPCS, and ICD-10 per
• encounter and code (150+) charts per productivity standard daily
• Ability and knowledge to adhere to all coding guidelines set by AHIMA (American Health
• Information Management Association,), The American Academy of Professional Coders (AAPC), NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics
• Maintain and remain current with Coding certification requirements per your responsibility
• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information for accuracy and timely coding daily
• Assign CPT, HCPCS, and ICD-10-CM to the correct encounter for claim reimbursement
• Ensures compliance with medical coding policies and guidelines; understands the application of each code set
• Follows HIPAA guidelines when accessing and sharing patient information at all times
• Manages each hospital in Acumen and codes per patient chart notes daily
• Collaborate closely with healthcare providers to procure essential documentation for billing and coding purposes via the eVigils communication portal in a timely manner
• Ensure strict adherence to relevant healthcare regulations and insurance mandates.
• Conduct meticulous reviews of medical records to detect and resolve coding discrepancies. Report issues and concerns to Management as they occur
• Review and identify KPI’s of unsigned chart notes and providers that are non-responsive to communications and report it to Management for resolution
• Engage and keep abreast in continuous education, industry developments, and training to remain apprised of industry best practices as they pertain to CEUs and Coding certification guidelines
• Adheres to and understands the client, PLC rules and regulations regarding Medicare, Medicaid, and HIPAA guidelines.
• Fulfills yearly continuing education requirements of the department and the hospital, including safety and mandatory services. Responsible for maintaining credentials.
• Other duties as assigned

Job Qualifications:

• High school diploma or equivalent required
• 2-3+ years of Coding experience (Hospital Facility, Professional Fee, Physician Professional Coding) using ICD-10 and CPT coding and/or knowledge of modifiers and the use of coding tools. Electronic Medical Record (EMR/EHR) experience.
• Required Coding Certification of Professional Coder CPC, CPC-H, CCA, CCS-P, CCSA, or equivalent certification.
• Demonstrated expertise in anesthesiologist billing, surgery billing, and medical credentialing.
• Proficiency in CPT, ICD-10, and HCPCS coding systems.
• Good attention to detail and ability to use. Proficient with Microsoft Office Suite or related software
• Good communication and interpersonal abilities.
• Proficient in the English Language both written and verbal
• Use of good time management skills with a proven ability to meet deadlines.
• Capacity to collaborate effectively within a healthcare team environment.
• Compliance with HIPAA regulations and adherence to ethical coding standards.

 

Hardware and Software Requirements:

 

Hardware:

• AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
• 16GB DDR4 RAM
• 120 – 480gb SSD
• Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
• 1 – 2 Monitors (at least 21in)
• 1080p HD Webcam
• Internet Speed: 50mbps (Fiber/DSL) LTE not accepted

Software:

• Genuine Windows 10 Licensed Computer
• Microsoft Office Suite