Coding Specialist I - MedStar Transport Services Job Listing at MedStar Health in Columbia, MD (Job ID 158539)

Description

About the Job

This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period.  Hybrid schedule includes working remotely from home on Mondays & Fridays and working on-site Tuesday - Thursday. Business office is located in Columbia, Maryland. 

General Summary of Position
Under the supervision of the Reimbursement Manager codes and abstracts MedSTAR Transport services using CPT, ICD-10-CM, HCPCS and other applicable patient classification schemes. This role is a vital position in the revenue cycle process for MedSTAR Transport services.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Abstracts and ensures accuracy of diagnoses billable services patient demographics and other required data elements.
• Adheres to all compliance regulations and maintains annual compliance education.
• Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
• Contacts ordering physician or transport team when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
• Performs timely and accurate charge entry into billing system. Reconciles charges and performs batch processing. Submits claims and works rejects for claims submission.
• Meets established Quality and Productivity standards as defined by policies.
• Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
• Reviews medical record documentation to identify diagnoses and billable services. Assigns correct diagnostic, HCPCS and appropriate modifiers using standard guidelines and maintaining departmental accuracy standards.
• Exhibits knowledge of other work-related equipment.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
• Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education

• High School Diploma or GED required 
• Associate's or Bachelor's degree preferred and
• Medical Coding Certification with successful completion of medical terminology anatomy physiology and coding courses in ICD-10-CM HCPCS and CPT-4 required
• One year of relevant education may be substituted for one year of required work experience.

Experience

• 1-2 years Coding experience and experience with clinical information systems (3M grouper electronic medical records computer assisted coding) preferred

Licenses and Certifications

• Certified Professional Coder (CPC) Certified Professional Coder (CPC) required 
• Certified Ambulance Coder (CAC) within 1 Year required 
• Certified Ambulance Compliance Officer (CACO) within 1 Year required

Knowledge Skills and Abilities

• Verbal and written communication skills.
• Basic computer skills required.