Medical Coding Specialist

About the role

O.N.E Purpose: Customer Obsession, Embracing New Ideas, Striving for Excellence.

Responsibilities

• Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types.
• Applies the appropriate charges such as the Evaluation & Management (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.
• Performs "medical necessity checks" for Medicare and other payers as required per payment guidelines.
• Maintains productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensures accuracy to maintain established quality standards.
• Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding (CAC), Medical Necessity software, abstracting system, code books, and all reference materials.
• Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy.
• Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.

Requirements

• 1 year of previous coding experience.
• PC and Computer application knowledge and experience.
• Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).
• Excellent organization skills, communication, time management, trouble shooting and problem solving.
• Ability to multi-task and prioritize needs to meet short- and long-term timelines.

Qualifications

• AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS.

Skills

• Experience with EPIC and previous use of coding software tools.

Benefits

Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.

Pay

This position will pay between $20.45 - $24.70/hr based on experience.

Schedule

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.