Medical Coding Specialist in Joelton, Tennessee at Radiation Billing Solutions Inc

The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client/facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.

Essential Duties and Responsibilities

• Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience.
• Maintain a minimum coding productivity of 30 CPT units per hour.
• Ensure an average error rate of less than 2%.
• Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements.
• Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans.
• Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for Technical/Professional/Global and Freestanding/HOPPS coding.
• Review daily client activities, ensuring accuracy and validity of CPT and ICD-10 codes compared to chart documentation.
• Identify and report discrepancies or deficiencies, making corrections as per client protocols.
• Enter charges into the client’s billing system, if applicable.
• Communicate coding discrepancies and documentation deficiencies to the client daily or weekly, based on their preferred communication method.
• Participate in required client meetings and build collaborative relationships to integrate as part of the team.

Other Expectations/Skills

• A servant-minded approach to assisting patients, clients, colleagues, and management.
• Self-motivated with the ability to solve problems.
• Reliable and extremely trustworthy.
• Ability to maintain confidential and meticulous records.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office Suite or related software.
• Exceptional organizational skills and attention to detail.
• Adaptability and willingness to remain flexible when changes occur
• Exhibit ENCORE values

Key Attributes

ENCORE Values

Encourage others’ success

New ideas; anticipate problems

• Pick up on problematic client trends quickly and address them efficiently, bringing in management as appropriate.
• Bring at least one idea for a process improvement to the team quarterly.

Create financial value for our clients

• Interact with client staff and team members to ensure coding is completed in a timely and efficient manner
• Gold Standard: Achieving Coding goals in the same month 4 out of 6 rolling months
• Monthly average of 30 CPT per hour
• Maintain an average error rate of less than 2% from QA reviews
• Obtain 90% approval rating from client satisfaction surveys obtained.
• Our focus is to remove the pressure of coding from our client physicians and facilities so they can put all their effort into treating their patients.

Ownership towards a solution

Reach Life Balance

Embody a positive approach

• Communication with clients and other RBS divisions
• Actively engage in department meetings and group conversations

• High School Diploma or equivalent
• 1-3 years of coding experience in the field or in a related area required, oncology preferred
• Coding Certification (CCS, CPC) preferred
• General Radiation Oncology experience

Physical Demands and Work Environment: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.

• Ability to lift/carry up to 25 pounds.
• Ability to sit/stand for long periods of time.
• Good manual dexterity with the ability to perform repetitive hand/wrist motions.
• Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
• Typical office environment
• Moderate noise levels

Disclaimer: This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.

The company is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.