CODE VERIFICATION SPECIALIST

Physicians Independent Management Services, inc. (PIMS) is seeking to hire a highly skilled Code Verification Specialist to join our team. As a Code Verification Specialist, you will be responsible for reviewing and auditing medical reports for CPT coding accuracy, assigning ICD-10, verifying ICD-10 relation to CPT when necessary, and verifying ICD-10 to the highest specificity. In addition, you will be required to accurately audit and code all reports before billing; and prepare weekly communications to physicians. As a professional medical coder, you must keep updated on industry changes. After an initial training period, this position allows for office-based and remote work based on operational necessity. The schedule is flexible within the team's core hours of 6:00 am and 3:30 pm M-F.

PRIMARY RESPONSIBILITIES LIST

• Review and audit medical reports for CPT coding accuracy.
• Verify ICD-10 relation to CPT when necessary and verify ICD-10 to highest level of specificity.
• Code medical reports for CPT and ICD-10 as needed.
• Apply CMS MIPS Quality Data Codes, where applicable.
• Collaborates with laboratory management to identify and resolve coding issues.
• Correspond with the performing physician concerning any discrepancies and/or corrections.
• Meet with team management as needed.
• Prepare materials to present coding presentations to clients.
• Communicate billing or other items of concern with team management.
• Review and monitor queue dates.
• Ensure all cases are completed in a timely manner.
• Must keep updated on industry changes.
• Other duties as assigned.

KNOWLEDGE, SKILLS, AND EXPERIENCE REQUIREMENTS

• Knowledge of CPT and ICD-10-CM codes and procedures.
• Knowledge of anatomy, physiology, and medical terminology.
• Knowledge of business office procedures.
• Strong work ethic and attention to detail.
• Ability to take initiative and work collaboratively with other team members.
• Ability to manage multiple projects simultaneously, prioritize tasks, and meet deadlines.
• Ability to work in a high-volume and fast-paced medical billing office.
• Skilled preparation of professional correspondence.
• Ability to understand and follow written and verbal instructions.
• Proficient in use of Microsoft Office suite, particularly the functionality of Microsoft Excel.
• Ability to work both independently and as a team member.
• Professional manners and emotional intelligence skills.

REQUIRED EDUCATION AND CERTIFICATIONS

• Associate degree or equivalent combination of education and experience
• Certified Professional Coder (CPC®)

EXPERIENCE

• 1+ years healthcare experience.
• Dermatology and/or pathology experience is preferred.

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