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Pro Fee Coding Specialist
Saint Francis Health System. Review medical record documentation and code assigned diagnoses and procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and billing, ensuring compliance with current regulations and accurate claims submission. Proficient in analyzing coding errors and educating providers on documentation standards.
Highest-signal resume keywords
Medical CodingClaims SubmissionCoding Denial ResolutionCCS CertificationMicrosoft 365
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record DocumentationDiagnosis CodingProcedure CodingEncoder SkillsCoding GuidelinesBilling RequirementsClaims AnalysisCharge CorrectionsRegulatory ComplianceHuman Anatomy Knowledge
Soft Skills
CollaborationCommunicationProblem-SolvingIndependenceTime Management
Certifications & Qualifications
CCSCPCBCHH-CRHIARHITHCCS
Industry Keywords
Medical BillingCoding DocumentationClaims Denial PatternsDocumentation PoliciesClinical Concepts
About the role
Key responsibilities & impact- Review medical record documentation and code assigned diagnoses and procedures
- Add or correct diagnosis and procedure codes submitted by providers
- Apply current coding and billing requirements to ensure accurate claims submission
- Monitor coding and billing performance and resolve denials related to coding errors
- Review charge corrections and rebilling requests for coding-denial resolution
- Analyze claims-denial patterns and develop preventative measures
- Prepare periodic reports for clinical staff identifying corrective measures
- Advise and instruct providers on documentation and billing policies, procedures, and regulations
- Obtain clarification from providers regarding conflicting, ambiguous, or nonspecific documentation
- Educate providers and office staff on coding, billing, documentation, and regulatory changes
- Collaborate with providers, office staff, billing personnel, quality, compliance, and coding resources
- Stay current on coding rules through seminars, reviews, and coding periodicals
Requirements
What you’ll need- GED or High School diploma
- One of the following certifications: CCS, CPC, BCHH-C, RHIA, RHIT, or HCCS; applicants without a required certification must obtain one within one year of hire
- Sound knowledge and understanding of medical records and coding documentation
- Basic encoder skills
- Knowledge of Microsoft 365 and other applicable software
- Ability to determine whether records are complete enough to code
- Ability to work independently and collaboratively in a fast-paced environment while managing multiple priorities and deadlines
- Experience and/or training in human anatomy, physiology, disease processes, and coding-related clinical concepts preferred
- 2 years of related experience preferred