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Medical Coding Specialist

Medical Coding Specialist

Gryphon Healthcare

Houston, TX • Remote

Full-time

Posted 17 days ago

Job description

MEDICAL CODING SPECIALIST
Location: Remote (US ONLY)
Corporate Office - Houston, TX
Schedule: Full-Time, 40 hours per week
About Gryphon Healthcare
Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare providers nationwide. We pride ourselves on delivering results through accountability, transparency, and a hands-on approach, what we call “The Gryphon Difference.” Our team is collaborative, driven, and committed to supporting one another while delivering exceptional outcomes for our clients.
JOB SUMMARY
The Certified Medical Coder will be responsible for analyzing medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS, for busy Emergency Room facilities and physician services.
  • Review medical records for completeness, accuracy, and compliance with medical and legal guidelines and in accordance with coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS.
  • Ensure coding of all relevant diagnoses, procedures and/or modifiers are accurately captured directly from the medical record to optimize reimbursement and minimize denials.
  • Apply commercial insurance reimbursement principles to ensure proper submission of claims.
  • Identify coding and billing errors, analyze, and investigate source of error to prevent future reoccurrence.
  • Work effectively with physicians and staff to ensure accurate coding and to provide coding guidance as needed.
  • Assist in educating providers on billing issues identified through on-going reviews of submitted claims in conjunction with the Coding Manager
  • Continued Medical Coding Education to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation.
  • Maintains confidentiality and security of patient data and medical records in compliance with HIPAA guidelines and regulations.
  • Maintain 95% coding accuracy rate and productivity standards.
  • Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality.
  • Perform all other duties and tasks assigned by the management team.
COMPETENCIES:
In general, competency is a broad indicator of best practice; an area of knowledge critical to be able to perform the job well. Competencies are also connected to the goals and outcomes of Gryphon Healthcare.
  1. Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
  2. Design - Generates creative solutions; Translates concepts and information into images; Uses feedback to modify designs; Applies design principles; Demonstrates attention to detail.
  3. Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
  4. Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
  5. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  6. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
  7. Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
  8. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
  9. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
  10. Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
  11. Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
  12. Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
  13. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.
EDUCATION REQUIREMENTS
  • Certification required: CPCO, CPC or CCS
  • Strong understanding of billing criteria for appropriate diagnosis codes using ICD-10 CM and procedure codes using CPT and HCPCS
  • Strong understanding of anatomy and physiology and apply knowledge as it relates to coding compliance.
  • Basic computer literacy that includes keyboarding skills, ability to utilize Microsoft 365 and the ability to navigate in a windows environment.
EXPERIENCE REQUIREMENTS
  • Minimum of 3+ years of experience as a medical coder in both Professional fee and Facility coding; preferably in Emergency Room Department.
  • Experience in Evaluation and Management coding
  • Experience in coding injections amp; infusions, labs, radiology, amp; supplies.
  • Experience using Electronic Medical Records Systems, EDI and commercial insurance company systems.
  • Proficient in ICD-10 CM, CPT/HCPCS coding and modifiers and maintain 95% coding accuracy rate and productivity standards.
  • Detail oriented, strong organizational skills, and the ability to prioritize workload and meet deadlines.
  • Customer service oriented with the ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality.
  • Must be able to work well in a team environment.
WORKING ENVIRONMENT
  • Ability to work in a fast-paced, high volume and dynamic environment.
  • Able to flex hours and overtime to meet need related to unanticipated volume, changes and/or problems.
  • Remote position (Must reside in the United States).
WHY JOIN GRYPHON?
At Gryphon, every team member plays a role in delivering results for our clients and supporting one another. We believe in accountability, teamwork, and creating an environment where people can grow and succeed.

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