Certified Coding Specialist I- Remote

Essential Job Functions

• Reviews warnings/errors in EPIC triggered by inappropriate code or modifier combinations.
• Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines.
• Verifies provider chosen codes for non-invasive procedures.
• Runs daily reconciliation reports to ensure all charges are captured.
• Maintains query communication with providers to address documentation issues impacting revenue or compliance.
• Attends meetings with physicians and other clinical staff as required.
• Coordinates and follows through with special projects as assigned.

Organizational Expectations

• Supports the mission and values of both IHA and Trinity Health.
• Works effectively as a member of the Revenue Site Operations team.
• Adheres to IHA’s standard of prompt service and respect to internal or external customers.
• Maintains knowledge of and complies with IHA standards, policies and procedures.
• Maintains strict patient and employee confidentiality.
• Demonstrates exceptional ability and willingness to take on new and additional responsibilities.
• Embraces new ideas and respects cultural differences.
• Uses resources efficiently.

Essential Qualifications

• Education: High School Diploma or GED.
• Credentials/Licenses: One of the following certifications is required: AAPC (CPC, CPC-A), PMIC (CMC), AHIMA (CCS-P).
• Experience: 2 years’ experience in a healthcare setting.

Position Requirements (abilities & Skills)

• Familiarity with billing and managed care department basic services and hours of operation.
• Knowledge of medical terminology and procedures.
• Proficiency in operating a standard desktop and Windows-based computer system.
• Excellent communication skills in both written and verbal forms.
• Ability to work collaboratively in a team-oriented environment.
• Good organizational and time management skills.
• Sound judgment and problem-solving skills.
• Confidential handling of patient and organizational information.
• Ability to work remotely or in-office.
• Ability to drive to other office/practice sites.
• Ability to work under minimal supervision.
• Successful completion of IHA competency-based program within introductory and training period.

Minimum Physical Expectations

• Physical activity that often requires keyboarding, filing and phone work.
• Physical activity that often requires extensive time working on a computer.
• Physical activity that sometimes requires walking, standing, bending, stooping, reaching, and/or twisting.
• Physical activity that sometimes requires lifting, pushing and/or pulling under 20 lbs.
• Specific vision abilities required include close vision, depth perception, peripheral vision and the ability to adjust and focus.
• Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
• Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.

Minimum Environmental Expectations

• This job is mainly remote.
• When working in-office, the job operates in a typical office environment which involves frequent interruptions and significant interaction with people, which can be stressful at times.