Coding Specialist II in Conway, South Carolina at Conway Medical Center

Position Title: Coding Specialist II

Position Summary: The Coding Specialist II (CS II) will use ICD and CPT and specialize in medical classification software to assign procedure and diagnosis codes for insurance billing for Conway Medical Center (CMC). Qualifications Education:

• High school diploma required.

Experience

• A minimum of one (1) year experience using ICD and CPT in a hospital setting required.

Licensure/Certification/Registration:

• One of the following certifications are required:
  • Certified Coding Associate by an accredited certifying agency (AHIMA preferred).
  • Certified Professional Coder (CPC) by an accredited certifying agency (AAPC preferred).

Duties & Responsibilities:

• Calculate accurate reimbursement for healthcare claims.
• Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
• If a claim is denied due to incorrect coding, the CS II will conduct medical records research and correspond with insurance companies and healthcare professionals to resolve the issue.
• Provides exemplary core customer service skills.
• Work effectively and collaboratively with colleagues, physicians, and members of leadership
• Effectively utilize strong organizational skills.
• Consistently display effective verbal and written communication skills.
• Proficient understanding and use of technology/PC skills required.
• Each employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled.
• Completes other duties as assigned by department leadership.