Coding Specialist

Summary

Join Imagine Pediatrics as a Coding Specialist and contribute to reimagining pediatric health care. Assist the provider team in accurate coding of patient medical records, serving as a subject matter expert in ICD-10-CM, CDPS, CPT, Telehealth, and Behavioral Health Services.

Responsibilities

• Assist our provider team in the accurate coding of patient medical records
• Serve as a subject matter expert in ICD-10-CM, CDPS, CPT, Telehealth, and Behavioral Health Services
• Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications
• Analyze and audit medical records to identify documentation deficiencies and determine opportunities for education and documentation improvement
• Evaluate diagnostic and procedural information for compliance with applicable state and federal guidelines and internal policies and procedures
• Assign codes for encounter submission, research and comply with regulatory requirements and guidelines
• Follow coding conventions and serve as coding consultant to care providers
• Identify discrepancies, potential quality of care, and coding issues to discuss with Coding Manager
• Research, analyze, recommend, and facilitate plan of action to correct discrepancies and prevent future coding errors utilizing coding queries and provider education
• Communicate and provide clear education to providers under the supervision of the Coding Manager
• Submit charges to payors and work A/R as needed
• Display strong communication and customer service skills
• Establish and maintain standards of professional competency and excellence, meeting or exceeding Imagine Pediatrics productivity standards, while meeting a 95% accuracy rate