CODING SPECIALIST

Responsibilities

• Coding Standards and Guidelines: Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims processing utilizing computerized encoder and grouper.
• Accuracy Standards: Ensures accuracy in coding and abstracting, with levels ranging from Exceeds Standards (5) to Improvement Needed (1).
• Abstracting: Applies appropriate elements to record, including admitting provider, attending provider, other providers, point of origin, primary service, discharge destination, discharge disposition.
• Accuracy Standards: Ensures accuracy in abstracting, with levels ranging from Exceeds Standards (5) to Improvement Needed (1).
• Coding Education Maintenance: Keeps abreast of coding guidelines and reimbursement reporting requirements, bringing identified concerns to supervisor or department director for resolution.
• Queries: Queries the appropriate discipline for additional or clarifying documentation to ensure the accuracy and completeness of coding and abstracting.
• Teamwork: Shows initiative by providing input to improve the department and/or hospital.
• Departmental Expectations: Attends departmental meetings (6 out of 12 monthly meetings minimum), acknowledges minutes and handouts, checks Methodist's internal email when logging on for work, at mid-day, and before logging off.

Qualifications

• Knowledge of ICD-10 and CPT coding systems.
• Ability to work independently and as part of a team.
• Completion of a coding certificate program, with American Health Information Management Association (AHIMA) approval status, as RHIA, RHIT, CCS or CCA is required.

Education

• High School Diploma/GED Equivalent Required.
• Certificate Required in Healthcare/Medical - Medical Coding.