Coding Specialist (remote position)

Chapters Health System•Temple Terrace, FL

89d•$24 - $36•Remote

About The Position

The Corporate Coding Specialist performs coding and abstracting for all Chapters Health System service lines. The specialist analyzes and interprets medical record documentation and abstracts data elements into the electronic medical record using ICD-10-CM and CPT-4 coding systems. The role requires maintaining the organization’s coding accuracy and productivity expectations, following official coding guidelines, and communicating with medical staff when clarification is needed.

Requirements

High school diploma or GED, or an equivalent combination of work experience and education.
At least three years of acute care, home health, physician, or ancillary coding experience.
Successful completion of a credentialed coding certificate program and at least one of these credentials: CCS, CCS-P, CPC, or HCS-D.
Knowledge of ICD-10-CM and CPT, familiarity with the Official Guidelines for Coding and Reporting, and familiarity with Evaluation and Management Documentation Guidelines.
Knowledge of medical terminology, anatomy and physiology, pathophysiology, AHA Coding Clinic, AMA CPT Assistant, and Coding Clinic for HCPCS.
Knowledge of clinical documentation improvement and its importance to coding accuracy.
Familiarity with encoder technology, including Computer Assisted Coding, abstracting systems, and electronic medical records.
Excellent organizational skills and attention to detail.
Ability to communicate professionally and effectively, work with a team, and meet productivity and coding accuracy expectations.
Extensive knowledge of computer technology to efficiently complete daily work responsibilities.
Consent to drug and/or alcohol testing after a conditional offer of employment and ongoing compliance with the Drug-Free Workplace Policy.
For employees performing services for Florida affiliates, eligibility verification through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and ongoing eligibility.

Responsibilities

Analyze and interpret medical record information and assign appropriate ICD-10-CM and/or CPT-4 codes to diagnoses and procedures according to coding guidelines.
Abstract necessary information from medical records to identify diagnoses, related complications, and co-existing conditions.
Review medical staff documentation and assign appropriate procedure codes, including evaluation and management services.
Review clinical documentation to ensure valid ICD-10-CM codes are assigned.
Use the CHS physician query process when code assignments are unclear or documentation is inadequate, ambiguous, or unclear for coding purposes.
Maintain a 95% coding accuracy rate as set by the organization.
Communicate with medical staff as needed to clarify documentation for appropriate code assignment.
Evaluate medical record documentation to ensure diagnoses and CPT codes accurately reflect and support the visit and comply with regulatory standards and guidelines.
Follow AHIMA and AAPC Standards of Ethical Coding and official coding guidelines.
Maintain knowledge of current coding guidelines and obtain continuing education units to maintain coding credentials.
Complete assignments within time constraints and the calendar schedule.
Perform other duties as assigned.
Represent the company professionally in care and services provided to clients.
Comply with state, federal, and local regulations, company policies and procedures, and health, safety, and security practices.
Maintain confidentiality of patients, families, colleagues, and other sensitive situations.
Use resources in a fiscally responsible manner; participate in community and professional organizations; and proactively support performance improvement.
Improve professional knowledge and skills, advance electronic media skills, support research and educational activities, and share expertise with coworkers.
Participate in Quality Assessment Performance Improvement activities as appropriate for the position.
Satisfactorily complete competency requirements for the position.