US Contractor HCPCS Coding Specialist - Part Time
The HCPCS Coding Specialist will apply the appropriate HCPCS Level II codes to supply chain items as required for appropriate billing to Centers for Medicare and Medicaid Services, and other third party payers to assist in data retrieval, analysis, and claims processing. This is a part time position, roughly 30 hours per week.
Principle duties and responsibilities:
- Assigns HCPCS Level II codes as required by CMS and associated billing requirements to supply chain items.
- Researches vendor / manufacturer websites, to assist in assigning appropriate HCPCS codes for specific items.
- Determination of appropriate code based upon item description and usage as outlined on manufacturer / vendor website and matching with appropriate HCPCS code, based upon description of such code.
- Performs periodic audit and maintenance of HCPCS code database and updates as necessary.
- Understands and applies APC regulations and impact of regulations upon HCPCS code assignment. Queries CMS when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding purposes.
- Continuously reviews and updates regulations and maintains a current knowledge base of all changes to HCPCS codes as published by CMS. Appropriately researches quarterly and yearly updates. Keeps abreast of coding guidelines and reimbursement reporting requirements through CMS reviews and reports identified concerns to supervisor or department manager for resolution.
- Executes HCPCS code assessments as necessary to support sales team for presentation to prospective new clients.
- Coordinates with members of ACS team to complete deliverables on time for facility / providers as outlined in statement of work. This includes an audit of deliverable prior to release to facility / providers.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management
- Association and adheres to official coding guidelines.
- Work experience as a coder or strong training background in coding and reimbursement.
- Clinical background preferred.
- Minimum of successful completion of a coding certificate program in a program with AHIMA approval status. RHIA, RHIT, CCS, and CCS-P certification status preferred. Coding certification preferred from the American Health Information Management Association.
- Three years’ HCPCS coding experience may be used in lieu of certification.
- Clinical background desired.