Coding Specialist - Full Time - Billing Office - Brunswick Campus

Company: Southeast Georgia Health System
Location: Brunswick
Posted on: May 25, 2023

Job Description:

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything together: A team of committed professionals like you. These individuals appreciate the value of every person who walks through our doors, and are the key to our culture of Service Excellence. As a Coding Specialist, you will accurately assign diagnosis and procedure codes to all applicable healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs. Reviews claims data to ensure that assigned codes meet required legal and regulatory requirements and that required signatures and authorizations are in place prior to submission. For our team members, this is more than a career - it's a calling. You will be responsible for:

• Identifies and codes all patient records, maintaining a 96% accuracy rate.
• Demonstrates understanding of policies, procedures, and federal guidelines that apply directly to coding and other work performed in this position.
• Effectively monitors billing reports to avoid inappropriate delays in coding and billing.
• Effectively communicates current and revised coding changes and clarifications to medical staff and Professional Billing Manager.
• Conducts medical records research and corresponds with insurance companies and healthcare professionals to resolve the issue if a claim is denied due to incorrect coding.
• Actively participates in the ongoing education of ancillary staff and healthcare providers regarding coding regulations.
• Responsible for monitoring the accounts not selected for billing report to avoid inappropriate delays in coding.
• Works with physician practices in the review and correction of claims that fail the pre-billing editing screens.
• Stays abreast of current ambulatory surgery coding, billing, and reimbursement issues.
• Actively participates in ongoing education opportunities related to role and responsibilities.

Keywords: Southeast Georgia Health System, Savannah , Coding Specialist - Full Time - Billing Office - Brunswick Campus, Administration, Clerical , Brunswick, Georgia