Coding Specialist II - Outpatient - Interventional Radiology & Cardiac Cath Experience

Singing River Health System • Pascagoula, MS

74d

About The Position

The Outpatient Coding Specialist will evaluate medical records and charges, as appropriate, to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), Healthcare Common Procedure Coding System (HCPCS), and the American Medical Association's Current Procedural Terminology Manual (CPT). Reviews medical records to identify diagnosis codes and CPT procedures relative to the patient's encounter. Selects the first listed diagnosis and principal procedure, along with other diagnoses and procedures using outpatient ICD-10-CM coding conventions and guidelines as well as the general and disease specific guidelines. Abstracts appropriate information from the medical record. Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record as well as querying for medical necessity. Ensure all coding complies with the ethical coding standards/guidelines and regulatory requirements. Maintains strictest confidentiality; adheres to all Health Insurance Portability and Accountability Act guidelines/regulations. The Specialist will also provide technical guidance and training on medical coding to physicians and staff.

Requirements

• High School diploma or equivalent required.
• Completed coursework in medical terminology, anatomy, physiology, disease processes, ICD-9/10 coding, and/or CPT coding.
• Certified by AHIMA or AAPC as a CPC, COC, CCS-P, or equivalent coding certification.
• Two (2) years or more of experience in medical record coding required.

Responsibilities

• Evaluate medical records and charges for completeness, accuracy, and compliance.
• Review medical records to identify diagnosis codes and CPT procedures.
• Select first listed diagnosis and principal procedure using coding conventions.
• Abstract appropriate information from medical records.
• Solicit clarification from physicians regarding ambiguous documentation.
• Ensure compliance with ethical coding standards and regulatory requirements.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Provide technical guidance and training on medical coding to physicians and staff.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED