HIM Coding Specialist

Responsibilities

• Examines the complete medical record to accurately determine and sequence the principal & secondary diagnoses, procedures, complications, and co-morbidities demonstrating 96% accuracy as determined by audits.
• Simultaneously abstract and enter all information into the Epic system to ensure timely billing. This includes coding advanced Interventional Radiology services and biopsy procedures.
• Maintains compliance with all billing requirements in accordance with federal and state regulations and specific contracts.
• Demonstrate a consistent level of performance striving to maintain a steady level of productivity according to current department guidelines.
• Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
• Reviews and processes provider queries. This includes working with the coding staff to appropriately write the query as well as communicating with the provider community to ensure the query is answered.
• Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first.
• Performs revenue cycle activities as needed.

Qualifications

• CCS or CPC (Required)
• H.S. Diploma/GED (Required)
• 2+ years' experience coding inpatient and outpatient medical records (Required)
• Bachelor of Arts or Science (Preferred)