Coding Representative (Remote Eligible)

Position Responsibilities

Review medical record documentation to assign accurate and complete ICD-10-CM diagnosis and CPT procedure codes for hospital surgical and observation services, in accordance with ICD-10 Official Coding Guidelines, regulatory guidelines, and coding compliance policies.

Adopt and incorporate initiatives that improve compliance and reduce risks to the institution.

Operations and Performance Standards

Meet targets set by supervisor regarding productivity and accuracy.

Identify trends and submit them to supervisor with opportunities for improvement.

Identify potential process improvements including denial management.

Contribute to new tools and processes that address underlying causes of incorrect payment.

Reporting

Prepare work list reports and other reports as directed.

Communication/Training

Communicate with providers, co-workers, supervisors and departments to resolve issues.

May assist with or provide training to providers regarding documentation requirements.

Participate in internal training.

Required Education and Certification

Completion of a degree program in Health Information Management from AHIMA or medical coding certification program from AAPC and/or an equivalent combination of education and experience is required.

Requires Health Information Management certification such as RHIA or RHIT or coding certification (CCS, CCA or CPC, etc.) through a nationally recognized credentialing body (AHIMA or AAPC).

Must receive full certification within six months of hire.

Required Qualifications

Knowledge of hospital outpatient ICD-10-CM and CPT medical coding.

Knowledge of medical terminology.

Knowledge of anatomy and physiology.

Proficient in computer software applications (i.e., Microsoft Office).

Excellent written and verbal communication skills.

Strong attention to detail with accuracy to achieve or exceed organizational and individual performance goals.

Professional experience working effectively with individuals from a variety of backgrounds and perspectives.

Desired Qualifications

1-3 years of experience with hospital outpatient ICD-10-CM and CPT medical coding.

Knowledge, understanding and experience with CMS regulations and industry standards.

Knowledge and experience utilizing Epic.

Knowledge and experience utilizing 3M (or equivalent) MS DRG/APR DRG encoder/analyzer software.