Certified Coding Specialist I

Cook Children's Health Care System • Remote - TX, TX

1d • Remote

About The Position

The Certified Coding Specialist I applies knowledge of ICD and CPT code sets and associated Medicare and Medicaid rules and guidelines. The role reviews and interprets patient medical record documentation to identify diagnoses and procedures, then assigns ICD-10-CM and CPT-4 codes accurately and promptly at the highest level of specificity supported by physician documentation. Records may include ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary, and clinic visits. The position primarily codes a mix of Evaluation & Management records and assists with outpatient ancillary, specialty clinic, surgical, and emergency room coding as needed. The specialist communicates with physicians and other providers about documentation requirements, collaborates with departments as needed, and maintains current knowledge of coding and documentation changes, rules, and guidelines.

This is a remote position for a Texas resident in the Administration department, with first-shift hours. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., for 40 standard weekly hours. Employees must maintain their primary residence in Texas and hold all licenses and credentials required for the position throughout employment.

Requirements

• High school diploma.
• CCS or CPC certification/qualification required.
• Knowledge of medical terminology, anatomy and physiology, and the disease process.
• Ability to work independently and productively with minimal guidance and supervision.
• Detail-oriented, organized, and flexible, with exceptional interpersonal and communication skills.
• Demonstrated coding and critical-thinking skills using current policies and procedures.
• Maintain primary residence within Texas and all licenses and credentials required for the position throughout employment.

Nice To Haves

• RHIA or RHIT.
• One year of current and continuous full-time ICD-10-CM and CPT-4 Evaluation & Management coding experience.
• Knowledge of health insurance processing.
• Skill with electronic medical record applications, automated encoders, and other software applications.

Responsibilities

• Review and interpret patient medical records to identify pertinent diagnoses and procedures.
• Assign ICD-10-CM and CPT-4 codes accurately and promptly at the highest level of specificity supported by physician documentation.
• Code a mixture of Evaluation & Management records primarily.
• Assist with coding outpatient ancillary, specialty clinic, surgical, and emergency room records as needed.
• Communicate with physicians and other providers regarding documentation requirements.
• Collaborate with different departments as needed.
• Maintain current knowledge of coding and documentation changes, rules, and guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED