GI Alliance is seeking an experienced Coding Specialist III.

Duties of this position include, but are not limited to, the following:

Position purpose

Performs various duties to accurately interpret and bill physician charges for physician services. Enters into the Billing System appropriate CPT and ICD-10 codes and bills charges.

Responsibilities/Duties/Functions/Tasks:

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
• Assists in entering data from impatient facesheets including but not limited to demographics, insurance plans, etc.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
• Enters appropriate data into gPM by selecting the appropriate codes, diagnosis, modifiers, Anesthesiologist, CRNA, pathology, and provider information to complete the process.
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
• Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
• Responsible for ensuring the batch processes for all coded charges.
• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
• Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for GI Alliance physicians' and pathology services.
• Works in coordination with other members of the Central Billing Office as necessary.
• Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
• Responsible for scrubbing claims in order to submit compliant, truthful, and correct coding based on payer rules.
• Performs other related duties as required and assigned.

Qualifications

Education: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.

Experience: 5 years experience working with EMR and in medical coding.

Requirements for Level III Status:

• Should be a leader and viewed as a leader by other staff.
• No performance or disciplinary actions in last year.
• Serves as mentor/trainer for new hires in field.
• Considered as subject-matter expert in areas by peers, management, and physicians.

Performance Requirements:

• Good working knowledge of medical terminology and anatomy.
• Knowledge of current third party billing and collection regulations and requirements.
• Good interpersonal skills and written and verbal communication skills.
• Ability to gather and interpret clinical data.
• Ability to utilize Microsoft Office and alpha numeric data entry.
• Strong attention to detail and decision making skills.

• GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

  Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

  NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
  
  No phone calls or agencies, please.

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