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Job Details

Certified Professional Coding & Billing Specialist

Category: Professional and Management
Location:
Malden, MA

Department: PSC PO Coding
Employment Type: Full Time
Job Type: Non-Union
Work Shift: Days
Work Days: Negotiable
Hours/Week: 40
Date Posted: 08/10/2017
Requisition Number: hrq-76154

Job Details

  • Job Purpose:

    a. Provides review and/or coding of any professional services including but not limited to surgeries, encounters, and diagnostic services for appropriate use of CPT, ICD-10, HCPCS, and Modifier usage/linkage as well as provide ICD-10 coding where needed for handwritten/missing diagnoses. Provides same for areas where workfiles are used. In areas where paper is used, reconcile daily charges against log (if available/applicable) to ensure daily capture of coding charges expected. Productivity and accuracy for workfile and non-workfile standards must be met according to guidelines set by manager. b. Review and assist in updates of coding dictionaries/encounter forms/charge slips as needed for accuracy of CPT, HCPCS and ICD-10 Coding. c. Periodic review of codes, at least annually or as introduced or require for new, revised, or deleted code updates. d. Answers and responds accurately and timely to questions on the telephone, voice mail, e-mail, Coding Hotline and/or Coding Website as appropriate. e. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections to appropriate parties. Resolves claims by processing necessary appeals accordingly. f. Reports regularly on daily activity, productivity, and findings of reviews/rejections/education via electronic file or database, e-mail, paper, or other means as required by manager.

    Qualifications: 

    High School Diploma or equivalent, plus additional specialized training associated with attainment of a recognized Coding Certificate.

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