Certified Coding Specialist II

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

2d • Remote

About The Position

The Certified Coding Specialist II requires advanced knowledge and skill in applying 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 include ambulatory surgery, special procedures, observation, emergency department, outpatient ancillary, and clinic visits. The position primarily codes complex ambulatory surgery and a mix of Evaluation & Management records, with additional outpatient ancillary, specialty clinic, and emergency room coding as needed.

The specialist communicates with physicians and other providers about documentation requirements, collaborates with departments across CCHCS on patient cases and coding accuracy, and maintains current knowledge of coding and documentation changes, rules, and guidelines. The position is remote in Texas, with a stated training schedule of Monday through Friday, 8:00 a.m. to 5:00 p.m. Cook Children’s is a not-for-profit pediatric health care organization with facilities and services across Texas. Employees must maintain their primary residence in Texas and any licenses and credentials required for the position.

Requirements

• High school diploma.
• CCS or CPC credential/qualification.
• 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 a primary residence in Texas and required licenses and credentials 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.
• Knowledge of health insurance processing.
• Skill with electronic medical record applications, automated encoders, and other software applications.
• Experience in CT Surgery and transplant coding.

Responsibilities

• Review and interpret patient medical records to identify pertinent diagnoses and procedures.
• Assign ICD-10-CM and CPT-4 codes accurately and timely at the highest level of specificity supported by physician documentation.
• Primarily code complex ambulatory surgery and a range of Evaluation & Management records.
• Code outpatient ancillary, specialty clinic, and emergency room records as needed.
• Communicate with physicians and other providers regarding documentation requirements.
• Collaborate with departments within CCHCS on patient cases, documentation needs, and coding accuracy.
• Maintain current knowledge of coding and documentation changes, rules, and guidelines.

What This Job Offers

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