Remote
About the Job
MedStar Health is looking for a Coding Specialist I to join our professional fee coding team. We are seeking a CPC coder with at least 1-2 years of coding experience and strong ability to code Evaluation and Management services in the office, outpatient and inpatient setting: primary care, family medicine, urgent care, and/or pediatrics. Must have experience in working prebill claim scrubber coding edits and experience in working coding-related insurance rejections.
As a Coding Specialist I, you will ensure that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain optimum reimbursement for services rendered. In addition to interacting with physicians on coding issues, you will ensure that physician encounter forms, the IDX billing system and MPBS processes are up to date and compliant regarding coding issues. Assists manager as required.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
- Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Accesses and understands coding software used by hospital coders, as a verification/cross check tool to ensure that technical component coding done by hospital coders and professional component coding is synchronized correctly on accounts involving both billing components (example: Radiology coding).
- Aids in the creation of training and educational coding guidance documents for physicians and MPBS Associates. Assists in the maintenance of billing, coding, and editing dictionaries in the billing system. Consistently meets or exceeds established Quality, Accuracy, and Productivity standards as defined by policies.
- Contacts physician when conflicting or ambiguous information appears in the medical record; requests diagnosis from physicians when not recorded in medical records. Determines the sequence of diagnoses for accurate claims submission.
- Employs knowledge of coding compliance, directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement. Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments.
- Maintains continuing education and credentials as required for job classification. Recommends policy and procedural changes and improvements for revenue enhancement.
Qualifications:
- High School Diploma or GED.
- 1 - 2 years medical-professional coding experience with demonstrated ability to work independently.
- Certified Professional Coder (CPC) certification from AAPC.
- Diploma
- Consideration will be given to an appropriate combination of education, training, and experience.
This position has a hiring range of
USD $23.65 - USD $42.03 /Hr.
In addition to your salary, MedStar Health offers a comprehensive healthcare package (including medical, dental and vision subject to eligibility requirements) and other benefits. The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by MedStar Health. MedStar Health is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The hiring range is the range MedStar Health, in good faith, believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on work experience, education and/or skill level, etc. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in MedStar Health's sole discretion unless and until paid and may be modified at MedStar Health's sole discretion, consistent with the law.
Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
- Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
- Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
- Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
- More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C. region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health entities that are federal government contractors are Equal Opportunity and Affirmative Action employers. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.
