Specialist-Clinical Coding II

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
• Complete onboarding and compliance requirements; gain access to required systems; shadow team members and workflows; begin outpatient coding responsibilities (1-4 months)
• Perform more complex coding assignments; meet productivity and accuracy standards; work coding denials and pre-bill edits (4-9 months)
• Independently code complex cases; become proficient in both inpatient and outpatient coding; function fully independently within the role (9-12 months)

Skills

• High school diploma or equivalent
• RHIT or CCS credential required
• Minimum 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

Qualifications

• OB/GYN coding experience (preferred)
• Inpatient (IP) and Outpatient (OP) coding experience (preferred)
• Preferred certifications: CPC (AAPC), CCS (AHIMA)
• Systems experience preferred: Epic, IDX, 3M, Excel, FinThrive (KnowledgeSource)

Schedule

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