Medical Certified Coding Specialist - AAPC

Overview

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward – always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.

The Urgent Care Coding Specialist is responsible for providing medical coding and charge entry support for identified clinical services at all Concentra locations. Assists charge entry colleagues with medical coding support and also coordinates with the CBO as needed. Performs all assigned duties as requested from department management.

Responsibilities

• Manage and resolve to conclusion the Coding edit and tasking errors daily. This includes refiningdiagnosis codes, modifiers, adding, and removing charges as supported by documentation.
• Provides routine feedback to Concentra centers and providers regarding the quality of the visitdocumentation and appropriateness of coding choices submitted, using established processesand forms.
• Be proficient in Concentra clinical systems, including but not limited to legacy, APM, TouchWorks,Occusource.
• Enters charges, diagnosis codes and appropriate modifiers for clinical visits based on the visitdocumentation and the charge ticket or encounter summary to ensure all revenue is captured.This is done in accordance with CPT and CMS coding guidelines and Concentra standards.
• Provide coding support for charge entry team for Medicare/Medicaid, and level of servicedocumentation review, multiple procedure coding, other specialty coding review as may beidentified.
• Provides coding support and communicate issues to the CBO(s) as needed/requested.

This job description is not designed to cover or contain a comprehensive listing of activities, duties orresponsibilities that are required of the employee for this job. Duties, responsibilities, and activities maychange at any time with or without notice.

Qualifications

• High School Diploma or GED equivalent• Associate degree from an accredited college preferred• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)• Must maintain a coding credential from AAPC or AHIMA organizations• Must complete CEUs to maintain this credential bi-annually or as required by the organization• Must maintain membership to the AAPC or AHIMA organization

Job-Related Experience

• Customarily has at least two or more years of experience in medical billing and coding in anoutpatient setting, preferably urgent care, family practice, general medicine; including Medicare

Job-Related Skills/Competencies

• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Basic computer skills to include Word, Excel, Power Point, some Access, Outlook (or similar February 20, 2024 email program) and ability to learn and utilize all proprietary Concentra software programs
• Experience with clinical systems (EPM/EMR), specific experience with Allscripts EMR and GE EPM a plus
• Strong interpersonal skills including clear, concise and appropriate written and verbal communication.
• Production, accurate task completion focus
• High energy, accustomed to fast paced environment
• Professional in appearance and demeanor
• Confident in coding expertise when interacting with peers, CBO and providers/centers. Ability to manage open projects to the end with successful follow up.