Halifax Health is seeking a Coding Specialist II for the PBFS – Physician Services Department.
Summary
The Physician Coding Specialist is responsible for coding and auditing physician documentation and will work directly with Physicians and Mid-level providers to provide feedback on documentation and coding accuracy. The Physician Coding Specialist is responsible for reviewing patient medical records and extracting all applicable ICD10 and CPT codes for billing purposes.
Job Qualifications
Minimum two (2) year college coding course including anatomy, physiology, medical terminology, CPT-4, HCPCS and ICD-10-CM
CPC or Bachelor’s degree and equivalent coding credential required
Minimum three (3) years of relevant physician coding and/or auditing experience required.
Must pass Halifax Health issued physician coding specialist II examination.
Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD) medical necessity requirements
Knowledge of regulatory and third party payer requirements
Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
The ability to organize, prioritize, analyze, and implement daily tasks; must be a self-starter
The ability to handle multiple responsibilities and tasks in stressful situations
The ability to maintain confidentiality; knowledge of HIPAA laws
Job Duties and Responsibilities
Performs chart reviews for professional fee claims for appropriate code assignment.
Interacts independently with providers to review audit findings.
Comply with changes in regulatory requirements such as changes to government billing policies and instructions.
Provide education regarding level of service and diagnosis coding consistent with established coding guidelines and standards to providers.
Perform work in accordance to internal standards
All other duties as assigned and consistent with the Job Summary
About Us
Halifax Health
Recognized by The Joint Commission as a Top Performer on Key Quality Measures, Halifax Health serves Volusia and Flagler counties, providing a continuum of healthcare services through a network of organizations including a tertiary hospital, community hospital, psychiatric services, a cancer treatment center with four outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, primary care walk-in clinics, a walk-in clinic specializing in women’s health, two community clinics, three children’s medical practices, a home healthcare agency, and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Comprehensive Stroke Center, Pediatric Intensive Care Unit, Pediatric Emergency Department, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level II Neonatal Intensive Care Unit that cares for babies born as early as 28 weeks. For more information, visit halifaxhealth.org.
Halifax Health
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