Medical Coding Specialist

About the Company:
Clarity RCM is a fast-growing medical billing company specializing in end-to-end revenue cycle and account management for private medical practices nationwide. We have been honored with a spot on the prestigious Inc. 5000 List of Fastest-Growing Private Companies in America. We offer competitive pay and career growth.

Scope of Duties: The Dermatology Coding Specialist provides guidance in accordance with state, Federal, and payer guidelines and is responsible for accurate coding, auditing, and training. The specialist works along with the coding team to provide the BEST-IN-CLASS service to our clients.

-Read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT®, HCPCS Level II, and modifier coding assignments.
-Work with the AR team to address and provide resolution for coding-related denials including appeal cover letter creation and review.
-Assist with E/M audits using the 2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
-Collaborate with the broader coding team to perform yearly provider/client audits including ongoing monitoring and education.
-Research coding questions and provide supporting resource material for Account/RCM Managers.
-Code and audit surgical procedures including excisions, closures, and MOHS.
-Communicate with providers via video/phone/email to assist them with coding challenges and questions.
-Create coding training documents/white papers/PowerPoint presentations for staff and provider education.
-Provider documentation improvement assessments.
-Work on special projects related to dermatology services and procedures.

Job Requirements:
-High School Diploma
-Coding Certification (CPC) ideal. Dermatology coding experience is a bonus.
-Knowledge of ICD-10 and CPT coding guidelines in accordance with federal and payer guidelines, including use of modifiers, NCCI edits, CMS LCD (Local Coverage Determination) and CMS Articles
-Knowledge of insurance reimbursement practices and overall/general understanding of revenue cycle management (RCM)
-Excellent customer/client service skills
-Strong computer skills, able to use and navigate in excel, basic formulas
-Ability to establish and maintain effective working relationships with physicians and colleagues
-Able to work effectively with colleagues as teaUpgrade to see actual infombers and to communicate clearly
-Follows directions as given by the supervisor
-Self-Motivator and able to work independently
-Ensures work product is accurate and complete
-Strong communication skills to provide clear instructions and ability to maintain professionalism in both written and oral form
-Excellent organizational skills, including prioritization
-Critical thinking skills
-Engages in all time-sensitive tasks with the appropriate level of urgency
-Ability to maintain strict confidentiality in accordance with HIPAA regulations
-Must maintain a high level of integrity and honesty
-Ability to manage multiple tasks effectively
-Performs related work as required
-With at least two (2) years of recent medical coding experience

Job Type: Full-time

Schedule:
8-hour shift
Night shift
Monday to Friday

Perks:
Company will provide your equipment
Work-from-home setup
Monthly internet allowance

Note: We'd love to get to know you better! Please send us a brief 1-minute intro video along with your updated resume. Please share a Google Drive link for your resume and video. Thanks!