- Senior
- 2–3 years
We are seeking a detail-oriented and experienced Healthcare Coding Suspends Senior Specialist to join our team. The ideal candidate will have a strong background in medical coding and billing, with expertise in identifying and resolving coding-related suspends.
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Responsibilities
- Review and analyze coding-related suspends generated by coding software or systems, identifying errors, discrepancies, and missing information.
- Conduct thorough reviews of medical records, encounter forms, and other relevant documentation to validate code assignments and ensure compliance with coding guidelines and regulations.
- Research and interpret coding guidelines, policies, and regulations, including CPT, ICD-10, HCPCS, and payer-specific coding requirements, to accurately assign and sequence diagnosis and procedure codes.
- Collaborate with coding and billing staff, clinicians, and other stakeholders to gather additional information, clarify documentation, and resolve coding-related issues.
- Correct code assignments, modifiers, and other coding elements as needed to address coding-related suspends and ensure accurate claim submission.
Requirements
- Bachelor's degree in any Life Science field
- Certified Coding Specialist (CCS)