Coding Specialist Jobs

About The Position

Requirements

• One of the following required certifications: CPC, CCS-P, RHIT, RHIA, or an appropriate AAPC specialty certification.
• At least 7 years of experience in professional coding in a pediatric setting, or manager-approved relevant experience.
• Proficient knowledge of medical terminology and codes, hospital policies, and government regulations.
• Clear communication and active listening skills to interact with diverse staff and functions.
• Problem-solving skills for straightforward and complex coding concerns.
• Conflict-management skills and the ability to remain level-headed and positive in stressful situations.
• Strong attention to detail to identify coding and billing errors accurately.
• Organizational and time-management skills to manage workload and productivity as an independent worker.
• Ability to adapt to evolving responsibilities, collaborate as part of a team, and complete tasks on time with minimal supervision.

Nice To Haves

• COSC (AAPC Certified Orthopedic Surgery Coder).
• CEMC (AAPC Certified Evaluation and Management Coder).

Responsibilities

• Review clinical documentation and assign diagnostic and procedural codes to professional claims according to the appropriate classification system.
• Audit charges for appropriateness and add modifiers as needed.
• Maintain productivity standards and coding accuracy standards, including 95% accuracy in diagnostic and procedural coding as measured by periodic audits.
• Assign ICD-10 and CPT codes, including evaluation and management codes, accurately and promptly for billing, internal and external reporting, research, and compliance purposes.
• Apply NCCI guidelines and medical necessity requirements, including NCDs and LCDs.
• Use available references, including the 3M encoder and reference package, ICD-10 and CPT code books, and government websites, to support appropriate coding.
• Follow HIPAA, Joint Commission, CMS, payer, AMA CPT, and official ethical coding guidelines.
• Maintain current knowledge of CMS and other third-party payer requirements and AMA CPT requirements.
• Assist with training and review of coders.
• Participate as needed in interdepartmental committees to develop or improve workflows.
• Serve as a liaison between the department, physicians, and other relevant staff by answering questions and providing support when issues arise.
• Provide education and support about the relationship between coding and documentation to clinicians, management, and applicable support staff.
• Use organizational systems, Microsoft Office, electronic medical records, online resources, and other relevant technology to perform coding functions.
• Follow organizational and departmental policies, guidelines, workflows, and attendance policies.
• Complete assigned annual training independently and submit self-assessments on time with relevant comments.
• Engage with leadership to identify and implement workflow and policy improvements, and provide constructive feedback.
• Perform other assigned tasks and projects; adapt to new processes, workflows, and system changes and learn new information quickly.

Benefits

• Retirement savings match.
• Tuition reimbursement.
• Certification reimbursement.
• Paid time off.
• Health and wellness benefits for employees at 0.5 FTE and above.