Certified Coding Specialist (1.0 D)

Franciscan Alliance, Inc.

9d•Hybrid

About The Position

The Certified Coding Specialist upholds the critical responsibilities of reviewing electronic medical record (EMR) documentation, and applying ICD and CPT codes, per official coding guidelines, with a specific focus on professional primary care and urgent care visits. The position services as a subject matter expert to providers and staff for questions and updates related to coding. Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

Requirements

High School Diploma/GED - Required
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required or Certified Coding Specialist - Physician (CCS-P) - American Health Information Management Association (AHIMA) - Required or Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - Required or Certified Coding Associate - American Health Information Management Association (AHIMA) - Required
Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines.

Nice To Haves

Associate's Degree Health Information Management - Preferred
1 year ICD-10 Coding - Preferred

Responsibilities

Review and audit EMR content, charts, CPT procedure codes, ICD diagnosis codes, and documentation to ensure accuracy and standard; provide corrective action if needed.
Review MWV, TCM and CCM visits to ensure billing follows Medicare and coding guidelines.
Verify insurance eligibility and update electronic medical record registration as appropriate.
Communicate electronically with the provider and/or staff for documentation or clarification to support codes and communicate concerns to the manager.