Coding Specialist II

ABOUT THE ROLE:

Possesses the knowledge and skills to thoroughly review the clinical content of Outpatient, Emergency Department, Therapy/Recurring Series, Nursing home and/or Rural Health Clinic medical records to assign appropriate ICD-10-CM codes to diagnosis procedures and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement.

YOUR ROLE WOULD ENCOMPASS:

• Commits to the mission, vision, beliefs and consistently demonstrates our core values.
• Studies and analyzes the clinical content of a medical record.
• Accurately completes coding of diagnosis, assigns CPT and HCPCS codes and enters physician clinic charges within established timeframes.
• Accurately completes coding of diagnosis, procedures, and assigns CPT and HCPCS codes on hospital services within established timeframes.
• Enters coding information into the computer system for reimbursement use by Patient Financial Services for submitting patient's bills.
• Assists in identifying solutions to reduce and resolve back-end coding edits.
• Queries physicians appropriately as needed when the documentation is not clear and follows up on queries.
• Assists with coding quality review activities for accuracy and compliance.
• Mentors and trains new coding staff members.
• Works as a team member to ensure all coding is accurate and meets turnaround standards.
• Complete workqueue edits, investigating as necessary to accurately code charges.
• Performs established and special project coding audits.
• Assists medical providers and ancillary staff with coding information needed for prior authorizations and insurance billing follow-up.
• Assists Meaningful Use and Quality reporting initiatives by participation in projects.
• Assists with establishment and maintenance of CAMC coding guidelines.
• Maintains strict confidentiality regarding patient information and office issues.
• Abides by the Code of Ethics and the Standards for Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all Official Coding Guidelines.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Participates in meetings, committees and department projects as assigned.

YOUR EXPERIENCE INCLUDES (PROVEN PERFORMANCE IN):

High school diploma or equivalency required. Class work in ICD-10-CM, CPT Coding, and related courses from an accredited college or acceptable program required. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required. Will consider equivalent education and/or directly related work experience in lieu of a CCS or CPC certification. One (1) year hospital and/or Rural Health Clinic coding experience preferred. Associates Degree in coding or related field preferred.