Practice Coding Specialist, Gynecologic Surgery

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Practice Location

Northside Adavanced Gyncologic Surgery 

500 Medical Cetner Blvd, Suite 390

Lawrenceville, GA 30046

Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies. Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present to support selected procedure codes or to code cases as needed. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improved coding issues identified.

1. In conjunction with Revenue Integrity, responsible for reviewing compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the coding process.
2. Educates Practice Coordinators and/or providers on compliance and coding regulations.
3. Coordinates with Practice Managers, Revenue Integrity and/or providers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated.
4. Reviews procedure/surgical documentation and provides education surrounding necessary improvements to accurately code encounters.
5. Participates in audits to assure all documented charges are being captured and performs audits to confirm that charges are being billed correctly on the claim.
6. Coordinates with the billing department and revenue integrity to resolve any coding denial issues.  Works work site driver to insure that denials are being resolved daily for any coding related issues.
7. Performs insurance verification and authorization for procedures/surgeries within the practice setting.
8. Enters coded visits within the practice management system and insures accuracy of claim prior to submission.
9. Responsible for collection physician billing information for submission.  Develops a methodology for practice to insure that procedures and surgeries are captured and reconciled for assigned practice.

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED

• Must have a coding credential (RHIA, RHIT, CPC, CCS, RN).
• Must have minimum of 2 years hospital and/or physician practice coding experience or successful completion of the one-year Revenue Integrity Internship Program.
• Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
• Knowledge of Microsoft Office products.

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED

• B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration preferred.
• Three to five years of experience in a hospital and/or physician practice setting.