Outpatient/Physician Coding Specialist

Position Summary:
Responsible for reviewing provider documentation and coding errors, including Evaluation and Management (E/M) coding, to ensure accuracy before claims are submitted. Identifies trends and opportunities for improvement in documentation and billing, and communicates findings to Coding Educators and providers. Must be proficient in E/M guidelines, ICD-10 coding for outpatient, inpatient, observation services, and procedural coding.

Duties and Responsibilities:

• Review documentation and coding for both inpatient and outpatient services before charge release.
• Query providers to clarify or correct documentation related to coding selection.
• Monitor regulatory changes impacting billing and coding in both inpatient and outpatient settings.
• Act as a resource for practices/departments to ensure coding accuracy and appropriate reimbursement.
• Identify coding issues linked to billing denials and collaborate with Coding Educators and Revenue Integrity to develop training materials to prevent future errors.
• Accurately code diagnoses and medical conditions based on documentation.
• Maintain departmental productivity and accuracy standards.

Qualifications:

• Education: High school diploma required.
• Certifications: CPC, RHIT, CCS or equivalent coding certifications.

Medix is acting as an Employment Agency in relation to this vacancy.