Medical Coding Specialist (remote)

Southwoods HealthBoardman, OH
Remote

About The Position

Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.

Requirements

  • Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
  • Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned
  • At least one year in a healthcare setting, 10 or more years of coding experience will be accepted in lieu of a certificate
  • Good Communication skills
  • Working knowledge of Excel
  • Good Computer Skills
  • Strong ethical and moral character references

Responsibilities

  • Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation.
  • Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required.
  • Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations.
  • Apply a strong understanding of bundling concepts, CMS guidelines, and HCPCS codes to ensure accurate assignment based on Place of Service (POS).
  • Assign ICD-10 codes to the highest level of specificity.
  • Accurately append modifiers and adhere to distinct guidelines for specific payer groups, including Medicaid HMO and Medicare HMO networks.
  • Maintain a minimum 95% coding accuracy rate while consistently meeting established productivity standards.
  • Ensure all processes at assigned physician practices maintain strict compliance with all regulatory agencies.
  • Research coding inquiries independently, collaborate with supervisors, and perform other duties as assigned.
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