Medical Coding Specialist

About the Role

The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes, and capture charges for laboratory, radiology, supplies, and medical procedures within Emergency Facilities, Inpatient, Observation, and Ancillary services.

Qualifications

• High School Diploma or GED, required
• CPC, CPC-H, CIC, COS, or CCS certification, preferred
• RHIA or RHIT certification with 3+ years of experience, required
• 3+ years of experience coding using ICD-10-CM, HCPCS, and CPT codes, required
• Experience coding emergency or hospital ancillary services, preferred
• Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques, and procedures, preferred
• Proficiency using Microsoft Office Tools (Word, Excel, Outlook), required
• Proficiency with patient accounting systems, preferred
• Experience using Stockell InsightCS, EPIC Community Connect, Cerner, and/or PICIS EMR, preferred
• Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
• Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
• ICD-10 Training/Education
• Fluency in English; written and oral communication, required

Responsibilities

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM, CPT-4, HCPCS codes, including IV infusion and injection codes
• Abstract and code diagnoses and procedures from health records using appropriate classification systems
• Attend staff meetings or other company-sponsored or mandated meetings as required
• Perform additional duties as assigned
• Ability to work off-hours and overtime