Coding Specialist III

About the role

Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM (current edition), CPT codes and modifiers as appropriate. Coordinates and performs work of assigned Coding Specialists and monitors progress and work quality. Trains employees, provides employee performance data, and fosters process improvements.

Responsibilities

• Distributes and monitors the flow of work for coding staff.
• Provides training and technical assistance to employees within the assigned work area.
• Affords resources, materials, and methods to assigned employees.
• Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel.
• Relays work instruction from the supervisor.
• Reviews coded records for coding quality assurance.
• Provides instruction and feedback to coding staff regarding proper coding assignment as necessary.
• Acts as a point person/department resource for special projects/programs and responds to coding related questions and issues.
• Aids in MD, Resident and Nursing documentation reviews, audits, and educational sessions as applicable.
• Abstracts and enters all codes and required demographic information into the UMMHC computer system and/or onto encounter forms.

Requirements

• High School education, plus medical coding certification and training in medical terminology from an accredited program.
• CPC certified and experience in IR coding.
• Five years of medical abstraction and coding experience or related work experience.
• Knowledge of ICD-CM (current edition) and CPT HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices.
• The ability to lead, organize, and support the work of less senior Coding Specialists is a primary function of this position.
• Good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
• Intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.

Qualifications

• Required: High School education, plus medical coding certification and training in medical terminology from an accredited program.
• Recognized programs include AHIMA, NHA, and AAPC.
• CPC certified and experience in IR coding.
• Experience/Skills Required: Five years of medical abstraction and coding experience or related work experience.
• Knowledge of ICD-CM (current edition) and CPT HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices.
• The ability to lead, organize, and support the work of less senior Coding Specialists is a primary function of this position.
• Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
• Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.

Skills

• Interpersonal and communication skills.
• Intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.

Benefits

Not specified.

Pay

$25.83 - $38.36 per hour.

Schedule

Monday through Friday, Scheduled Hours 8AM to 4:30PM, Shift 1 - Day Shift, 8 Hours (United States of America) Hours 40.