Coding Specialist I

TriHealth•Norwood, OH

16d

About The Position

This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers.

Requirements

High School Degree or GED
CPC-A, CPC, CCS-P, CCA
ICD-10-CM and CPT Coding Guidelines
Medical terminology
Anatomy
Physiology
Experience Related Fields
Successful completion of a certification program from an accredited organization.
Strong knowledge of anatomy, physiology, and medical terminology.
Excellent typing and 10-key speed accuracy.
Commitment to a high level of customer service.
Superior mathmatical skills.
Familarity with ICD-10 codes and procedures.
Solid oral and written communication skills.
Able to work independently.

Nice To Haves

Working knowledge of medical jargon and anatomy preferred.

Responsibilities

Assists with coding/billing questions from both internal and external customers. Which will include follow up on denials, research, review of charts for potential coding issues.
Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary.
Communicate with other clinical staff regarding documentation trends.
Maintains a close working relationship with all departments and internal customers including leadership and consolidates effotrts to ensure appropriate and standardized coding procedures are followed.
Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources.
Maintains knowledge of current coding revisions and effectively communicates changes with provider.
Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems.
Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes.
Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable.
Ensure that all codes are current, active, and billiable according to CCI.
Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes.
Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable.
Ensure that all codes are current, active, and billiable according to CCI.