WHO ARE WE?
Come join our team! Indiana Spine Group is a growing physician owned specialty practice with several locations in central Indiana. We are committed to providing excellent care for our patients and in turn understand the importance of providing the same to our employees. Team work is emphasized as well as each employee’s responsibility for individual work load.
ROLE OVERVIEW:
Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing.
QUALIFICATIONS
High School graduate or GED equivalent
AHIMA certification is required
2+ years of experience coding in-patient and out-patient
ESSENTIAL DUTIES:
The following list describes the essential duties of this role. Individuals in this role may not perform all of these duties, or may perform additional or unrelated duties
- Codes surgeries from operative reports within 3 days of the surgery date.
- Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record
- Perform edit checks on data entered prior to transmittal and corrects errors as indicated.
- Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with ICD10, CPT, HCPCS, and any other coding classification systems that may be required.
- Develops a relationship with each doctor to open communications for coding discrepancies.
- Assists Reimbursement Analysts with appeals on surgery claims and coding related denials.
- Responsible for reviewing schedules or work queues daily for unposted claims and ensuring correct diagnosis codes, modifiers, etc. are applied before releasing claims for submission.
- Stays informed regarding current coding regulations, insurance company polices and effectively applies this knowledge and keeps all providers and Business Office personnel up-to-date with any changes in coding procedures.
- Meets department production standards consistently as defined by the department management.
- Perform all duties respectful of confidentiality and safety of all patients, employees, and providers.
- Requires working knowledge of HIPAA Privacy Rules compliance.
MINIMUM QUALIFICATIONS:
- Excellent verbal and written communication skills
- Excellent interpersonal and customer service skills
- Excellent organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Strong analytical and problem-solving skills
- Ability to prioritize tasks and to delegate them when appropriate
- Ability to function well in a high-paced and at times stressful environment
Out of state candidates will not be considered. Must live in the Indianapolis/Carmel, IN vicinity.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- in-patient and out-patient coding: 2 years (Required)
License/Certification:
- Certified Coding Specialist (CCS) (Required)
Work Location: In person