Coding Specialist I

About the role

Join TriHealth as a Coding Specialist I and play a key role in supporting accurate, compliant, and high-quality patient care. You’ll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices.

Responsibilities

• Assist with coding and billing questions from both internal and external customers, including follow-up on denials, research, and review of charts for potential coding issues.
• Follow up with providers on any documentation that is insufficient or unclear and escalate where necessary.
• Communicate with other clinical staff regarding documentation trends.
• Maintain a close working relationship with all departments and internal customers, including leadership, to ensure appropriate and standardized coding procedures are followed.
• Ensure understanding and compliance with coding protocols, rules, and regulations from government agencies, insurance companies, and other resources.
• Maintain knowledge of current coding revisions and effectively communicate changes with providers.
• Maintain accurate and current CPT and ICD-10-CM resources within the billing and clinical systems.
• Validate and/or abstract codes specific to diagnoses and procedures using ICD and CPT codes.
• Receive and review patient charts and documents to ensure codes are accurate, sequenced correctly, and in accordance with government and insurance requirements.
• Ensure that all codes are current, active, and billable according to CCI.

Requirements

• High School Degree or GED.
• Coding certification (CPC-A, CPC, CCS-P, or CCA).
• Strong knowledge of ICD-10-CM and CPT Coding Guidelines, medical terminology, anatomy, and physiology.
• Successful completion of a certification program from an accredited organization.
• Excellent typing and 10-key speed accuracy.
• Commitment to a high level of customer service.
• Superior mathematical skills.
• Familiarity with ICD-10 codes and procedures.
• Solid oral and written communication skills.
• Working knowledge of medical jargon and anatomy preferred.
• Able to work independently.

Schedule

Full-Time (80 hours biweekly), Day Shift. No weekend, holiday, or on-call commitment.

Benefits

TriHealth offers a comprehensive benefits package, including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. View our benefits page for more details.

Working Conditions

• Climbing: Rarely
• Concentrating: Consistently
• Continuous Learning: Consistently
• Hearing (Conversation): Consistently
• Hearing (Other Sounds): Frequently
• Interpersonal Communication: Consistently
• Kneeling: Rarely
• Lifting <10 Lbs: Rarely
• Lifting 11-50 Lbs: Rarely
• Lifting 50+ Lbs: Rarely
• Pulling: Rarely
• Pushing: Rarely
• Reaching: Rarely
• Reading: Consistently
• Sitting: Consistently
• Standing: Frequently
• Stooping: Rarely
• Talking: Frequently
• Thinking/Reasoning: Consistently
• Use of Hands: Occasionally
• Color Vision: Rarely
• Visual Acuity (Far): Frequently
• Visual Acuity (Near): Frequently
• Walking: Occasionally

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, all team members are expected to demonstrate and live the following SERVE standards:

• Serve: ALWAYS…
  • Welcome everyone by making eye contact, greeting with a smile, and saying "hello."
  • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist.
  • Refrain from using cell phones for personal reasons in public spaces or patient care areas.
• Excel: ALWAYS…
  • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met.
  • Offer patients and guests priority when waiting (lines, elevators).
  • Work on improving quality, safety, and service.
• Respect: ALWAYS…
  • Respect cultural and spiritual differences and honor individual preferences.
  • Respect everyone’s opinion and contribution, regardless of title/role.
  • Speak positively about team members and other departments in front of patients and guests.
• Value: ALWAYS…
  • Value the time of others by striving to be on time, prepared, and actively participating.
  • Pick up trash, ensuring the physical environment is clean and safe.
  • Be a good steward of resources, using supplies and equipment efficiently and effectively, and look for ways to avoid waste.
• Engage: ALWAYS…
  • Acknowledge wins and frequently thank team members and others for contributions.
  • Show courtesy and compassion with customers, team members, and the community.