Coding Specialist
Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing.
- Abstract pertinent information from patient records.
- Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments.
- Perform complex coding.
- Obtain acceptable productivity/quality rates as defined per coding policy.
- Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements.
- Conduct chart audits for physician documentation requirements & internal coding; provide associate/physician & education as appropriate.
- Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
Minimum Requirements You'll Need
Licensure / Certification / Registration:
- One or more of the following required:
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
- Coder obtained prior to hire date or job transfer date.
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date
Education:
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
What Additional Preferences We're Seeking
- Previous coding experience preferred
- Comfortable with coding different specialties
- Must live in Oklahoma as this job is on site.