Specialist Clinical Coding II

SEH Saint Elizabeth Medical Center•Erlanger, KY

14h

About The Position

This position processes medical records by coding and abstracting data, and produces information for third-party billing and a complete statistical database. The Specialist demonstrates respect, dignity, kindness, and empathy in each encounter with patients, families, visitors, and employees, regardless of cultural background. The role reviews inpatient or observation, same-day surgery, interventional procedure, emergency department, or complex ancillary records. It identifies and sequences principal and secondary diagnoses and procedures according to Official Coding Guidelines to support accurate DRG/APC assignment and billing. The position is expected to meet department quality and productivity standards of 96% after completing the training period. It also abstracts demographic and medical information into the computer system, communicates professionally with coding and related teams, completes reports and logs, follows up on assigned dates, and participates in ongoing education and corporate compliance.

Requirements

Associate or bachelor’s degree, or equivalent hospital-based coding experience.
CCS, CIC, or COC credential; an apprentice credential is not sufficient.
Two to four years of hospital coding experience.
Knowledge of medical terminology, anatomy, and physiology.
ICD/CPT experience.
Knowledge of Prospective Payment Systems and outpatient medical necessity.
Ability to use a personal computer.

Nice To Haves

Physician coding credentials CCS-P and CPC are recognized for coding other than inpatient, but are not preferred.

Responsibilities

Review inpatient or observation, same-day surgery, interventional procedure, emergency department, and complex ancillary records.
Identify and sequence principal and secondary diagnoses and procedures according to Official Coding Guidelines for accurate DRG/APC assignment and billing.
Meet department coding quality and productivity standards of 96% after completion of the training period.
Assign codes based on documentation.
Participate in the corporate compliance program and uphold high ethical standards.
Abstract demographic and medical information into the computer system according to departmental guidelines.
Communicate professionally with the Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff, and fellow coders about held accounts, coding changes and questions, physician queries, and rebills.
Complete productivity and statistical reports, log sheets, and other documentation.
Perform daily or weekly follow-up of assigned dates and submit updates.
Attend educational programs and apply knowledge to enhance job performance.
Use available coding resources, including Coding Clinic and CPT Assistant.
Perform other duties as assigned.