Global Healthcare Exchange Inc. US Contractor HCPCS Coding Specialist - Part Time in Louisville, Colorado
The HCPCS Coding Specialist will apply the appropriate HCPCS Level II codes tosupply chain items as required for appropriate billing to Centers for Medicareand Medicaid Services, and other third party payers to assist in dataretrieval, analysis, and claims processing. This is a part timeposition, roughly 30 hours per week.Principle duties and responsibilities:Assigns HCPCS Level II codes as required by CMS and associated billingrequirements to supply chain items.Researches vendor / manufacturer websites, to assist in assigningappropriate HCPCS codes for specific items.Determination of appropriate code based upon item description and usage asoutlined on manufacturer / vendor website and matching with appropriateHCPCS code, based upon description of such code.Performs periodic audit and maintenance of HCPCS code database and updates asnecessary.Understands and applies APC regulations and impact of regulations upon HCPCScode assignment. Queries CMS when code assignments are not straightforward ordocumentation is inadequate, ambiguous, or unclear for coding purposes.Continuously reviews and updates regulations and maintains a current knowledgebase of all changes to HCPCS codes as published by CMS. Appropriatelyresearches quarterly and yearly updates. Keeps abreast of coding guidelinesand reimbursement reporting requirements through CMS reviews and reportsidentified concerns to supervisor or department manager for resolution.Executes HCPCS code assessments as necessary to support sales team forpresentation to prospective new clients.Coordinates with members of ACS team to complete deliverables on time forfacility / providers as outlined in statement of work. This includes anaudit of deliverable prior to release to facility / providers.Abides by the Standards of Ethical Coding as set forth by the American HealthInformation ManagementAssociation and adheres to official coding guidelines.Required Skills:Work experience as a coder or strong training background in coding andreimbursement.Clinical background preferred.Required Qualifications:Minimum of successful completion of a coding certificate program in a programwith AHIMA approval status. RHIA, RHIT, CCS, and CCS-P certificationstatus preferred. Coding certification preferred from the American HealthInformation Management Association.Three years HCPCS coding experience may be used in lieu of certification.Preferred qualifications:Clinical background desired.Global Healthcare Exchange, LLC and its North American subsidiaries(collectively, GHX ) provides equal employment opportunities(EEO) to all employees and applicants for employment without regard torace, color, religion, gender, sexual orientation, nationalorigin, age, disability, marital status, amnesty, or status as acovered veteran in accordance with applicable federal, state and local laws.GHX complies with applicable state and local laws governing non-discriminationin employment in every location in which the company has facilities. Thispolicy applies to all terms and conditions of employment, including, butnot limited to, hiring, placement, promotion, termination, layoff,recall, transfer, leaves of absence, compensation, and training.GHX expressly prohibits any form of unlawful employee harassment based onrace, color, religion, gender, sexual orientation, nationalorigin, age, disability, or veteran status. Improper interference withthe ability of GHX s employees to perform their expected job duties isabsolutely not tolerated.