Certified Coding Specialist
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. WHO WE ARE 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 12 ministries and access points across Indiana and Illinois, 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. WHAT YOU CAN EXPECT 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. Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines. Communicate electronically with the provider and/or staff for documentation or clarification to support codes, and communicate concerns to the manager.
Requirements
- High School Diploma/GED - Required
- 1 year of hands-on ICD-10 coding experience in a professional healthcare setting (not solely coursework or software training)
- Highly detail-oriented with a commitment to accuracy - 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
Nice To Haves
- Associate's Degree Health Information Management - 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.
- Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines.
- Communicate electronically with the provider and/or staff for documentation or clarification to support codes, and communicate concerns to the manager.
Benefits
- Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
