Coding Specialist CCS

Mount Sinai Medical Center•Miami Beach, FL

About The Position

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Department: CC017680 Medical Records Job Description Summary: The Coding Outpatient Specialist is responsible for reviewing, coding, and abstracting outpatient medical records by accurately selecting and documenting appropriate ICD-10-CM diagnosis and CPT procedure codes. This includes a wide range of outpatient services such as clinic visits, same-day surgeries, diagnostic testing, oncology, wound care, and other ancillary services. The role ensures compliance with CMS regulations, payer-specific guidelines, and organizational policies to support accurate reimbursement and data integrity. The specialist evaluates clinical documentation within the electronic health record (EHR) to determine correct code assignment, verify medical necessity, and ensure all rendered services are appropriately captured. This position collaborates with providers and clinical staff to clarify documentation, resolve coding discrepancies, and promote best practices in outpatient coding and documentation. Key responsibilities include maintaining high standards of coding accuracy and productivity, supporting compliance initiatives, and staying current with coding updates, regulatory changes, and payer requirements. This role requires strong knowledge of outpatient coding guidelines, excellent attention to detail, critical thinking skills, and the ability to manage multiple accounts efficiently in a fast-paced environment. This is a per diem position, with availability expected for up to 20 hours or more per week, as needed.

Requirements

CCS, RHIT, RHIA or eligible to test for one of these. Certification must be obtained w/n 12 months of employment.
Associates degree in Health Information Management or completion of Coding Specialist Prog or equivalent years of work experience.
1 year of coding ICD 10-CM and CPT-4 preferred.

Responsibilities

Performs coding and abstracting on outpatient medical records by selecting and documenting ICD 10-CM Diagnoses and CPT procedure codes.
Assigns correct CM Diagnoses and CPT with coding accuracy rate of 95% or greater.
Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater.
Codes / abstracts 24 Outpatient diagnostic/Breast Center records per hour.
Codes 12 Emergency department records per hour.
Codes 24 PHP & Outpatient REHAB Series records per hour.
Codes 10 Oncology per hour
Codes 4.5 Ambulatory, GI's and Observation per hour.
Process EPIC Dashboard all work Q's-OP Priority, Coding Review Needed, Failed Claims within our 2 day Billed Hold.
Process all emails within a 24 to 48 response time.
Maintains current status of Coding Credentials, by annually submitting proof of compliance with AHIMA requirements.
Completes 30 hours of Continued Education annually.
Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Comorbidity compliance).
Performs daily verification of records received, add notes to Accounts for ALL Charts.
Reviewing ALL Scanned and or Electronic Order on each record.