Coding Specialist Job at Exact Sciences Corporation
Position Overview
The Coding Specialist analyzes medical records and abstracts clinical data by assigning codes to patient records in accordance with established coding classification systems to ensure Exact Sciences receives appropriate reimbursement and conforms with applicable guidelines and regulations. This role will perform technical coding, have experience with clinical cancer genomic laboratory environment, and will be experienced with abstracting from pathology reports. The Coding Specialist will assist with resolving coding related rejections and denials to ensure clean claim submission.
This position is remote.
Essential Duties
Include, but are not limited to, the following:
- Assure overall compliance with coding rules and guidelines as issued by the Centers for Medicare and Medicaid Services (CMS), the National Center for Health Statistics (NCHS), and American Medical Association (AMA), as well as applicable professional and company standards.
- Review clinical documentation to determine sufficient accuracy and completeness for laboratory coding.
- Assist with obtaining missing information from providers, as needed.
- Abstract relevant clinical information from the medical record to assign current ICD-10-CM and CPT codes in accordance with coding and reimbursement guidelines.
- Maintain the confidentiality of medical information contained in each record and protects data by following HIPAA compliant regulations.
- Disciplined, self-motivated and reliable; able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner.
- Apply strong collaboration and communication skills.
- Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
- Support and comply with the company’s Quality Management System policies and procedures.
- Ability to act with an inclusion mindset and model these behaviors for the organization.
- Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
Minimum Qualifications
- High School Diploma or General Education Degree (GED).
- 5+ years of experience in healthcare medical coding.
- Demonstrated technical coding expertise for a CLIA certified and CAP accredited cancer genomic laboratory.
- Demonstrated strong knowledge of payer guidelines.
- Possession of current certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) at time of hire and maintain throughout employment in position.
- Strong computer skills to include internet navigation and email usage.
- Experience with revenue cycle platform applications.
- Strong proficiency in Microsoft Office programs, such as: Word, Excel, PowerPoint, Outlook.
- Demonstrated ability to perform the essential duties of the position with or without accommodation.
- Authorization to work in the United States without sponsorship.
Preferred Qualifications
- 3+ years of experience in the oncology and/or molecular diagnostics industry.
- Epic & OnBase Experience.
If you need any assistance seeking a job opportunity at Exact Sciences, or if you may require a reasonable accommodation with the application process, please call our Recruitment Coordinator at 608-535-8841 or email
hr@exactsciences.com
.
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state or federal law. Applicable portions of the Company’s affirmative action program are available to any applicant or employee for inspection upon request.
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