Specialist-Clinical Coding II

Schedule

Days (hours may vary) Hybrid: Must reside in Indiana

Preferred Specialty Experience

OB/GYN coding experience. Inpatient (IP) and Outpatient (OP) coding experience.

Benchmarks for Success

• 1-4 Months: Complete onboarding and compliance requirements. Gain access to required systems. Shadow team members and workflows. Begin outpatient coding responsibilities.
• 4-9 Months: Perform more complex coding assignments. Meet productivity and accuracy standards. Work coding denials and pre-bill edits.
• 9-12 Months: Independently code complex cases. Proficient in both inpatient and outpatient coding. Function fully independently within the role.

Top Responsibilities

• Review clinical documentation and diagnostic results
• Assign accurate ICD-10-CM, CPT, & HCPCS codes
• Ensure accurate APC assignment
• Resolve pre-bill coding edits
• Work coding-related denials
• Maintain coding quality, productivity, and compliance standards
• Provide operational support as needed to remain current on workflows and functions

Required Skills

• High school diploma or equivalent
• RHIT or CCS credential required
• Minimum of 3 years of relevant experience in ICD-9; CPT code assignment and APC grouping
• Ability to read, understand and interpret medical records and other treatment documentation
• High level of concentration
• Ability to function effectively in a high-volume environment
• Effective written and verbal communication skills to communicate with physicians

Preferred Certifications

• CPC (AAPC)
• CCS (AHIMA)
• Epic
• IDX
• 3M
• Excel
• FinThrive (KnowledgeSource)