Job Title: Coding Services Specialist
Reports To: Coding Services Director
Employment Type: Full-Time
Location: Remote
Company DescriptionVee Healthtek, Inc. delivers cutting-edge solutions that transform healthcare organizations. We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients. Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes. Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes. Learn more at www.veehealthtek.com.
This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services. It will require maintaining hourly productivity standards and quality standards as set by Vee Healthtek, Inc. and Industry Standards. This position require attendance at department meetings via conference call and Microsoft Teams. Coding Work Queue assignment will vary based on business needs or management assignment.
Major Responsibilities:- Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT, HCPCS.
- Review patient encounters for accurate code assignment of all relevant diagnoses and procedures and/or modifiers.
- Review and check for CCI bundling edits as well as NCD/LCD edits.
- Enter appropriate codes into the client's coding program for the transfer of data to billing files for reimbursement.
- Queries manager when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Essential Responsibilities: - Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI) as set for the by the client.
- Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments. Review and provide resolution of edits/warnings. You will assign codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types.
- Communicates with department manager on coding, compliance, and documentation issues.
- Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
- Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
- Within the scope of the job, requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
- Follows guidelines for each project as set by the client.
Required Skills: - 3-5 Years Diagnostic Radiology Coding experience
- 3M experience a plus
- Audit scored at 95% or better
- Maintain a production rate of 90% or higher
- Maintain strict confidentiality/follow HIPAA rules
- RCC, CPC or CCS-P or equivalent certification
- Possess moderate knowledge of level 1&2 modifiers
- Radiology coders must be able to code the following modalities: Level I, Duplex and Doppler ultrasounds, CT's/CTA's, MRI's and Nuclear medicine at a minimum
Minimum Requirements:- Ability to examine documents for accuracy and completeness
- Ability to understand and follow compliance issues of moderate complexity
- Detail-oriented with the ability to identify and resolve problems
- Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
- Ability to communicate clearly and work effectively with co-workers
- Conduct self in an ethical, honest, and professional manner
Salary: $25.00 - $28.00/hour depending on experience. This position is eligible for full health insurance including medical/dental/vision, PTO, and a 401k match! *A Coding Assessment Test will be administered before initial pre-screen.
*Must be a US resident and reside in one of the following states: Arizona, Connecticut, Florida, Georgia, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Texas.
Travel Requirements: Fully remote/home-based office 
