GI Alliance is seeking an experienced Coding Specialist.

Duties of this position include, but are not limited to, the following:·

Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.

• Assists in entering data from impatient facesheets including but not limited to demographics, insurance plans, etc.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
• Enters appropriate data into gPM by selecting the appropriate codes, diagnosis, modifiers, Anesthesiologist, CRNA, pathology, and provider information to complete the process.
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
• Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
• Responsible for ensuring the batch processes for all coded charges.
• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
• Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for TGIA physicians' and pathology services.
• Works in coordination with other members of the Central Billing Office as necessary.
• Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
• Responsible for scrubbing claims in order to submit compliant, truthful, and correct coding based on payer rules.
• Performs other related duties as required and assigned.

Education: High school diploma or GED completion is required. Professional Coding Certification is required.

Experience: Experience working with EMR and in medical coding preferred. Gastroenterology coding experience preferred.

Performance Requirements:

• Good working knowledge of medical terminology and anatomy.
• Knowledge of current third party billing and collection regulations and requirements.
• Good interpersonal skills and written and verbal communication skills.
• Ability to gather and interpret clinical data.
• Ability to utilize Microsoft Office and alpha numeric data entry.
• Strong attention to detail and decision making skills.

Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

No phone calls or agencies, please.

EEO/AA-M/F/disabled/protected veteran