JOB TITLE: CODING SPECIALIST I JOB CODE:   1486
DEPARTMENT: HEALTH INFORMATION MANAGEMENT
REPORTS TO: DIRECTOR OF CODING
FLSA STATUS: NON-EXEMPT
DATE: 02/2018

                                   

 

POSITION SUMMARY:   To ensure and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements.  This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies.  Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment, severity of illness and risk of mortality for each medical record.  This position includes an overall compliance program effort as it pertains to physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives.

 

MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Diploma or Equivalent.
2. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
3. Certification in one of the following:

RHIT (Registered Health Information Technician),

RHIA (Registered Health Information Administrator),

CCS (Certified Coding Specialist)

CCS-P (Certified Coding Specialist Physician Based)

COC-A (Certified Outpatient Coder-Apprentice) or

COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital)

CPC (Certified Professional Coder)

 

 

PREFERRED QUALIFICATIONS:

EXPERIENCE:
1. One year of hospital  or physician office coding experience strongly preferred

 

OR

 

 

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Diploma or Equivalent required.
2. Certification in one of the following:  CCS or COC (Formerly CPC-H).
EXPERIENCE:
1. Three years of recent hospital coding experience.

 

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be construed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.
  1.             Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
  2.            Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
  3.            Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-service and coding seminars, internal meetings, study or circulating reference materials, and inclusion of updates to coding manuals.
  4.            Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
  5.            Contacts physicians or any persons necessary to obtain information required to accurately code assignments.  Works and communicates with the offices in any manner necessary to facilitate the billing process.
  6.            Monitor on an on-gong basis provider documentation and follows up with provider education as needed.
  7.             Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts.
  8.             Assigns codes for hospital billing as well as E&M coding for facility and professional services.

 

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Must be able to sit for longer periods of time
2. Must have Visual and hearing acuity within the normal range.
3. Must have manuel dexterity needed to operate computer and office equipment

 

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
3. May require travel

 

SKILLS AND ABILITIES:
1. Must be able to concentrate and maintain accuracy during constant interruptions.
2. Must possess independent decision-making ability.
3. Must possess the ability to prioritize job duties.
4. Must be able to handle high stress situations.
5. Must be able to adapt to changes in the workplace.
6. Must be able to organize and complete assigned  tasks.
7. Must possess excellent written and verbal communication skills.
8. Must possess the knowledge of anatomy, physiology and medical terminology.

APPLY NOW