Specialist II - Coding

Responsibilities

• Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types for data retrieval, billing, and reimbursement.
• Must be able to code at least two outpatient visit types or possess at least 2 years of IP coding.
• Essential Functions:
  • Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types which may include inpatient, observation, ambulatory and emergency room records for billing and reimbursement.
  • Review CDI notes in Midas to ensure consistent coding.
  • Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record.
  • Abstract clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted.
  • Communicate with Medical Staff as appropriate to clarify documentation issues for accurate coding.
  • Affix with Patient Financial Services with interpretation and selection of appropriate ICD or CPT codes and /or other information requested for accurate billing and reimbursement.
  • Possess knowledge and understanding of failed bill parameters.
  • Review and ensure accurate procedure charge capture for Emergency and Observation visit types.
  • Solves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
  • Participates in continuing education activities to enhance knowledge, skills and keep credentials current.

Requirements

• Associates BA/AA degree, CCS, RHIT, CPC, RHIA, COC, or CEMC certification
• Preferred Experience: 2 years inpatient coding experience or the ability to code at least two of the following patient types: same day surgery, observation, emergency room.
• Required 3 years hospital-based coding experience using 3M encoder software
• Preferred LICENSE AND CERTIFICATIONS: Certified Coding Specialist (CCS) - Certification Required or Certified Professional Coder (CPC) - Certification Required Registered Health Information Administrator (RHIA) - Certification Required or Registered Health Information Technician (RHIT) - Certification Required