Coding Specialist
Responsible for coding inpatient or outpatient records, reviews documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.
Essential Functions and Responsibilities As Assigned :
- Responsible for outpatient coding and charge validation (charge entry)
- Responsible for coding simple inpatient visits (with < 30 days of LOS)
- Properly identifies and assigns ICD-10-CM, CPT-4 or ICD-10- PCS codes.
- Determines the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.
- Ensures codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies.
- Maintains knowledge of current coding guidelines by self-study, assigned education, corporate coding meeting attendance, or related in-services.
- Participates in internal and external quality review meetings and responses.
- Works collaboratively with appropriate departments such as nursing or CDI (clinical documentation improvement), etc. to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed.
Qualifications:
Required:
- Associate's degree HIT, Applied Science, Liberal Arts or other related healthcare field.
- Certified or eligible to be certified in at least one of the following within one year:
- AHIMA Certification (such as: RHIA, RHIT, CCS)
- AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.)
- AMAC Certification such as: ROCC (Radiation Oncology Certified Coder)
Preferred:
- One year of facility outpatient, professional or inpatient coding experience.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans