Anesthesia Coding Specialist - Middle River MD

• →Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines.
• →Reviews and codes moderately complex cases, including encounters involving multiple diagnoses, comorbid conditions, or complex documentation scenarios.
• →Utilizes revenue cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies.
• →Collaborates with providers and clinical staff to clarify documentation and improve the quality and completeness of clinical documentation to support accurate coding and billing.
• →Participates in coding quality assurance activities and ensures compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.
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  Core Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. 

Minimum of a Bachelors Degree in HIM, Medical Coding, or related field; or a minimum of high school diploma or GED and 2 years work experience in medical coding can be substituted for Bachelors Degree

CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician) certification is required.
Minimum of 3 years of coding experience
Minimum of 1 year experience in pain management

Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements
Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines
Demonstrated knowledge of ICD-10 is required
Experience utilizing coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission