Coding Specialist II

About the Role

Possesses the knowledge and skills to thoroughly review the clinical content of Outpatient, Therapy/Recurring Series, Specialty Clinic, Emergency Department/Emergency Charge Capture, Outpatient Surgery, Observation, and simple Inpatient medical records. Assigns appropriate ICD-10-CM codes to diagnoses and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement.

Responsibilities

• Commits to the mission, vision, beliefs, and consistently demonstrates core values.
• Studies and analyzes the clinical content of medical records.
• Assigns and sequences diagnosis and procedure codes appropriately to arrive at the correct DRG or APC assignment.
• Enters coding information into the computer system for reimbursement use by Patient Financial Services for submitting patient bills.
• Maintains thorough and updated knowledge of Clinical Coding Guidelines, Fiscal Intermediary directives, Coding Compliance standards, and Local Medical Review Policies.
• Instructs other hospital personnel on appropriate medical necessity needed for coding accurately and assists with peer review auditing activities for accuracy and compliance.
• Maintains strict confidentiality regarding patient information.
• Works as a team member to ensure all coding types meet or exceed the established quality standard of 95% coding accuracy while meeting or exceeding productivity standards.
• Abides by the Code of Ethics and the Standards of Ethical Coding as set forth by the American Health Information Association (AHIMA) and adheres to Official Coding Guidelines.
• Adheres to relevant policies, procedures, regulations, and expectations of Bryan Health.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends in the field of expertise.
• Participates in meetings, committees, and department projects as assigned.
• Performs other related projects and duties as assigned.

Requirements

• Knowledge of anatomy, physiology, pharmaceuticals, medical terminology, disease process, and ICD-10 and CPT Coding.
• Knowledge of computer hardware equipment and software applications relevant to work functions.
• Ability to meet high standards of work accuracy and productivity.
• Ability to prioritize work and seek assistance when appropriate.
• Ability to communicate effectively both verbally and in writing.
• Ability to perform crucial conversations with desired outcomes.
• Ability to establish and maintain effective working relationships with all levels of personnel and medical staff.
• Ability to problem solve and engage independent critical thinking skills.
• Ability to maintain confidentiality relevant to sensitive information.
• Ability to prioritize work demands and work with minimal supervision.
• Ability to maintain regular and punctual attendance.

Qualifications

• High school diploma or equivalency required.
• Classwork in ICD-10-CM and CPT Coding procedures required.
• Certification as a Certified Coding Specialist - Professional (CCS-P) or Certified Professional Coder (CPC) required.
• Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) preferred.
• Minimum of one (1) year facility coding experience in a medical environment required.

Physical Requirements

Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.