Job Description

Job Description
#upjobs

Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance.
Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc.
Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding.
Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records.
Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards and guidelines regarding clinical documentation requirements, procedure and diagnosis coding.
Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc.
Remote working options available

Shift
Days

Minimum Qualifications
Minimum Qualifications - Medical Coding Specialist
Completion of a coding certification program or equivalent training to obtain certification using ICD-10-CM, ICD-10-PCS, and the CPT-4 coding systems. One (1) year of related medical records coding experience may be substituted.
One of the following certifications within one (1) year as a condition of continued employment in this job classification:
--Certified Coding Associate (CCA)
--Certified Coding Specialist (CCS)
--Registered Health Information Technician (RHIT)
--Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA); or
--Certified Professional Coder (CPC/CPC-A)
--Certified Outpatient Coder (COC/COC-A)
--Certified Inpatient Coder (CIC/CIC-A) by the American Academy of Professional Coders (AAPC); or
--Existing staff in this title as of 2014 are grandfathered from the certification requirement.


Minimum Qualifications - Medical Coding Specialist-Certified
One of the following certifications:
--Certified Coding Associate (CCA)
--Certified Coding Specialist (CCS)
--Registered Health Information Technician (RHIT)
--Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA); or
--Certified Professional Coder (CPC/CPC-A)
--Certified Outpatient Coder (COC/COC-A)
--Certified Inpatient Coder (CIC/CIC-A) by the American Academy of Professional Coders (AAPC); or
Specialty certification per the department needs such as:
--Radiation Oncology Certified Coder (ROCC) by the American Medical Accounting and Consulting Inc (AMAC)



Preferred Qualifications
Preferred Qualifications - Medical Coding Specialist
Two (2) years of experience in coding for inpatient or outpatient hospital services.
Associate degree or bachelor’s degree in health information technology or health administration.
Additional license/certification requirements as determined by the hiring department.
High school diploma, medical office technology, or a related background along with CPC or CCS-P required.


Preferred Qualifications - Medical Coding Specialist-Certified
High school diploma, medical office technology, or a related background along with CPC or CCS-P required
Certification in one or more of the following is required: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H),), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified in Healthcare Compliance (CCP). Other coding and/or billing or compliance certifications by reputable certifying agencies (AAPC, AHIMA, and HCCA) are acceptable. Will need a copy of the certification.
Two (2) years of experience in coding for hospital or physician practice.
Additional license/certification requirements as determined by the hiring department.