General Summary of Position MedStar Health is looking for a Coding Specialist II with experience in Professional Multispecialty Surgical coding to join our remote team! Surgical specialties include, but are not limited to, pain management, ophthalmology, urology, women's health, ENT, and neurology. To qualify for a level II Coding Specialist, you must have 3-4 years of medical-professional coding experience and your CPC certification. Job Summary - Ensures that MedStar Health's medical-professional services are coded correctly and completely, based on extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and procedural changes to obtain optimum reimbursement for services rendered. Interacts with physicians on coding issues, ensures physician encounter forms, the GE IDX billing system, and processes are up to date and compliant regarding coding issues. Assists the manager as required. Mentors and reviews the work of Coding Edit Specialists and Coding Specialist I as needed. Primary Duties and Responsibilities Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Uses coding software as a verification tool to ensure synchronization of technical and professional component coding for billing components (e.g., Radiology coding). Creates training and educational coding guidance documents for physicians and MMG MedStar Associates. Maintains billing, coding, and edit dictionaries in the billing system. Meets or exceeds Quality, Accuracy, and Productivity standards as defined by policies. Contacts physicians for clarification or additional information in medical records. Determines the correct sequence of diagnoses for accurate claims submission. Employs knowledge of coding compliance to achieve quality standards identified through reviews or management directives. Mentors Coding Specialist I and Coding Edit Specialists, reviewing and correcting code selections based on documentation. Identifies and reports issues or trends in physician documentation or departmental routing. Maintains continuing education and credentials as required. Recommends policy and procedural improvements for revenue enhancement. Minimum Qualifications Education High School Diploma or GED required Bachelor's degree preferred Consideration given for a suitable combination of education, training, and experience Experience 3-4 years of medical-professional coding experience with the ability to work independently 1-2 years of leading others or managing a work stream Experience with computer systems for encoding and abstracting Licenses and Certifications CPC (Certified Professional Coder) certification required Knowledge, Skills, and Abilities Attention to detail and strong organizational skills Effective interaction with physicians, liaisons, and administrators Ability to work independently and self-direct Professional communication skills with physicians and understanding of medical terminology In-depth knowledge of billing processes, claims submission, and payer requirements Broad medical knowledge, including terminology and procedures Knowledge of payer policies, regulatory standards, and coding resources Basic computer skills preferred This position has a hiring range of $28.2 - $47.3. #J-18808-Ljbffr