RCM/Coding Specialist
Job Description
Job Description
EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.
Job Title: RCM Coding Specialist
Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA
Job Summary
The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.
Duties and Responsibilities
Evaluate medical record documentation and charge-ticket coding to optimize reimbursement by ensuring diagnostic and procedural codes, and other documentation, accurately reflect and support outpatient visits via data compliance with legal standards and guidelines.
Review medical records and both identify and address any documentation or charge discrepancies.
Interpret medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
Perform edit checks on data entered prior to transmittal and corrects errors as indicated.
Research, analyze, recommend, and facilitate plans of action to correct discrepancies and prevent future coding errors.
Provide technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and codes that do not conform to approved coding principles and guidelines.
Assist lead or supervisor in educating and advising staff on proper code selection, documentation, procedures, and requirements.
Develop and update procedure manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
Read bulletins, newsletters, and periodicals, and attend workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
Participates in team meetings and activities to support the goals of the team and department.
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
Performs other duties that may be necessary or in the best interest of the organization.
Education, Licensure & Certification Requirements
High School Diploma
CPC, RHIT, or CCS Coding Credentials
Experience Requirements
Minimum Required: 2+ years of medical coding experience OR completion of A.A. or A.S. in medial coding and billing, medical administration, or a related field
Knowledge, Skills and Abilities Requirements
Knowledge of ICD-10-CM and CPT coding guidelines, medical terminology, and both state and federal Medicare reimbursement guidelines.
Experience with the utilization of modifiers and other coding rules to include the AMA and other coding organizations.
Ability to research and analyze data, draw conclusions, and resolve issues by reading, interpreting, and applying policies, procedures, laws, and regulations.
Ability to develop training materials, make group presentations, and to train staff.
Ability to apply and understand payer requirements.
Professional in appearance and actions
Logical and Critical thinking skills
Customer-focused with excellent written, listening and verbal communication skills
Enjoys learning new technologies and systems
Detail oriented, professional attitude, reliable, prioritizing tasks to meet department goals.
Exhibits a positive attitude and is flexible in accepting work assignments and priorities
Meets attendance and tardiness expectations
Management and organizational skills to support the leadership of this function
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support need
Able to communicate effectively in English, both verbally and in writing
Ability for basic to intermediate problem solving, including mathematics
Intermediate to Advanced computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Travel to other site locations may be necessary. Thus, those needing to travel for work must have access to dependable transportation, and driving record must meet company liability carrier standards
Specialty knowledge of systems relating to job function
EHR Software
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
If you need assistance with this application, please contact (636) 227-2600Please do not contact the office directly – only resumes submitted through this website will be considered.EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.