WHO WE ARE

At Skin and Cancer Institute, we believe in more than just jobs; we believe in fostering careers that resonate with excellence, compassion, and innovation. Discover a workplace that facilitates growth, celebrates collaboration, and propels your professional journey forward.Skin and Cancer Institute’s commitment to excellence isn’t just skin-deep – it permeates every aspect of our work. We understand that true impact requires a passion that goes beyond the surface. Here, we believe in nurturing a genuine devotion to dermatology, where every team member is driven by a shared enthusiasm for improving lives through advanced skincare solutions.Our patients deserve the very best, and it starts with your desire to be of service to others. Your deep-rooted commitment ensures that each individual receives personalized, empathetic care beyond medical treatment.

SUMMARY OF POSITION

The Physician Coding Specialist is responsible for analyzing medical records to ensure accurate and efficient coding practices, and compliance with regulatory standards. The Physician Coding Specialist is responsible for ensuring that all medical codes accurately reflect the procedure(s)/visit and diagnoses performed by our dermatologists. This role will have a subspeciality in lab billing, dermatology specific treatments, ASC billing, and cancer screening.

ESSENTIAL DUTIES

• Review medical records and assign appropriate ICD-10, CPT, and HCPCS codes for all dermatology visits/procedures and diagnoses. 
• Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.
• Assist with coding-related audits and compliance efforts.
• Identifies coding deficiencies by provider and practice and communicates this directly to the Medical Coding Auditor.
• Work closely with Dermatology physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
• Analyze requirements, test systems, export data in EDI formats, and be able to load and transform EDI files into accessible data formats.
• Document all analysis and reporting projects following established department protocols to ensure transparency and repeatability.
• Create and operate within time-based workflows, ensuring charges are submitted withing timely guidelines set by individual payers.
• Maintain knowledge of existing and emerging regulatory changes and how they impact operational processes and beyond.
• Collaborate with other departments and trading partners to research, identify and correct systemic data errors and ensure data is of the highest quality.
• Collaborates with revenue cycle leadership to ensure compliance with all claims transmission.
• Maintains professional relationships and collaborates across teams, managing projects, facilitating meetings and presenting in various settings, including senior leadership.

SKILLS/QUALIFICATIONS/EXPERIENCE

• Minimum of 3 years of experience in coding for dermatology procedures care is required.
• 2+ years of experience in a remote working environment.
• Must have a high school diploma or equivalent certificate.
• Coding certification (e.g., CPC, CCS-P) required.
• In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
• Hands on experience having implemented 834 & 837 files for a health plan, build and troubleshoot carrier forms, and ensure accurate and efficient data exchange.
• Proven ability to impact process improvement and efficient operations.
• High level of business and technical knowledge with significant practical experience in healthcare administration or operations preferred
• Communicate effectively with internal staff and insurance companies.
• Collaborative and humble approach with internal and external resources.
• Able to prioritize and organize daily tasks.
• Strong attention to detail, positive attitude and a proven ability to lead a team to success.
• Proficient in Microsoft Word, Outlook and Excel.
• Knowledge of state regulations.
• Presentation skills are desirable.
• Must have excellent written and verbal communication skills.
• Able to work with a diverse group of people.
• Must be able to work in a fast-paced office environment.

 EQUIPMENT & SOFTWARE OPERATION

The incumbent in this position may operate any/all of the following equipment:

Microsoft Outlook, Word, Excel, PowerPoint, fax, email, phone, NextGen, EMA

POSITION REQUIREMENTS

• Associate degree highly preferred.
• 5+ years of related experience required.
• Proficiency in Microsoft Office with advanced Excel skills.
• Experience with Intacct, ConnectWise, Ubersmith, System Integration and M&A a plus.
• Strong communication skills, written and verbal.
• Ability to work independently and manage time appropriately.