Job Description

Medical Coding Specialist

Department: Revenue Cycle

Employment Type: Permanent - Full Time

Location: Austin, TX

The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient’s medical records after a visit and translating into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information and submitting claims to insurers for reimbursement.

Schedule & Location
This role is fully onsite at our Austin HQ (5929 Balcones Drive, Austin, TX 78731).

Monday-Thursday 8a-5p
Friday 8a-12p
(40 hour work week)

What your day will look like

• Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
• Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
• Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
• Provide manual charge entry as needed.
• Upload claims to practice management system and/or clearinghouse.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.
• Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
• Discuss coding guidelines with providers and provide training as needed.
• Report emerging trends to management which need to be escalated.
• Follow policies and procedures to contribute to the efficiency of the business.
• Cover for and assist with other functions in the department as assigned.

Knowledge & Skills Needed to be Successful

• Strong analytical and problem-solving skills with an attention to detail.
• Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
• Excellent written, verbal, interpersonal communication skills.
• Drive to take initiative and be a self-starter.
• Ability to prioritize tasks and to delegate when appropriate.
• Excellent time management skills are essential along with the ability to meet deadlines.
• Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
• Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.
• Minimum of 40 words per minute typing speed

Required Education and Experience

• High School Diploma or higher
• Certified Professional Coders License
• Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
• Knowledge of ICD-10 and HCPCS Codes
• Continual Education of Codes and Payer Guidelines
• High School Diploma or higher

What Benefits do we offer Aspire Employees?

• Medical, Dental and Vision Insurance
• Generous Paid Time Off and Paid Holidays
• 401(k) + Generous Employer Match
• Free Allergy Testing and Discounted Treatments
• Gym Membership Discounts
• Life Insurance
• Employee Reward Program

.. AND MORE