Sheridan Memorial Hospital Coding Specialist
At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital's mission of excellence!
Job Summary:
Employee is responsible for the conversion of diagnosis and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Works closely with the physician clinics, providers and manager.
Essential Duties/Responsibilities:
- Ensures documentation meets standards and policies.
- Ensures that encounters are coded and or charges entered in a timely manner with office visits coded next day.
- Review documentation thoroughly to ascertain all diagnoses and procedures are billed out.
- Identifies and contacts appropriate physician in a professional, tactful manner, if changes in CPT or diagnosis codes need to be made.
- Coder's diagnoses and procedures need to support or reflect documentation within the chart 100% of the time.
- Refers documentation to the Manager, if there is a question regarding the diagnoses or CPT codes.
- Utilizes all resources including books and/or computerized coding software.
- Codes all diagnoses/procedures in accordance to current coding rules and the Coding Manual.
- Reviews coding alerts and other periodicals within 7 days of receipt to ensure continuing education.
- Updates the Coding Manual on an ongoing basis.
- Provides, as needed, cost estimates for services.
- Assists the Manager with state requirements and reports.
- Acts as a resource person to BHHN staff for coding and may provide education regarding coding changes or issues and coding requirements.
- Performs performance improvement functions through data collection and documentation review.
- Demonstrates an ability to stay current on all work queues assigned in Revenue Cycle.
- Maintains a good working relationship within the department and with other departments.
- Demonstrates the ability to be flexible, organized and function under stressful situations.
Minimum Requirements:
Education / Experience / License and Certifications:
- High school diploma or equivalent, required. Some college preferred.
- Minimum two years of medical office experience preferred.
- Once certified must maintain membership in AAPC with yearly CEUs completed as required.
- Knowledge of ICD-9, ICD-10, CPT and HCPCS in accordance with current coding principles.
Additional Skills:
- Ability to effectively communicate in English, both reading and writing.
- Multi-line telephone knowledge.
- Computer knowledge.
- Ability to operate designated equipment as specified including computer keyboarding.
- Basic clerical training, including basic filing procedures (both numerically and alphabetically).
- Ability to work under pressure with time constraints.
- Knowledge of medical record content and sequence.
- Ability to function independently with minimal direction.
Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products. Pre-employment drug and alcohol screening is required.
Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to age, race, color, religion, sex, national origin, disability or protected veteran status.