Medical Coding Specialist

Position Summary
Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.

Essential Job Functions

• Assign diagnosis procedural/treatment, professional billing codes for all patient type encounters utilizing ICD-10-CM, ICD-10-PCS or CPT guidelines.
• Working knowledge of modifier usage, CCI edits, HCPCS, LCD/NCI regulations.
• Data entry/verification/appropriate sequencing into electronic health record.
• Submit provider queries when documentation is unclear.
• Identify and resolve clinical documentation and charge capture data discrepancies.
• Review and resolve coding related claim denials.
• Assist in provider education in use of coding guidelines and practices and proper documentation techniques.
• Assist with coding quality review activities for accuracy and compliance monitoring.
• Perform other duties as requested to facilitate the smooth and efficient operations of the organization.

Competencies

• Working Under Pressure – Ability to complete assigned tasks under stressful situations.
• Research Skills –Ability to design and conduct a systematic, objective, and critical investigation.
• Judgement – The ability to formulate a sound decision using the available information.
• Ethical – Ability to demonstrate conduct conforming to a set of values and accepted standards.
• Technical Aptitude – Ability to comprehend complex technical topics and specialized information.
• Patience – Ability to act calmly under stress and strain, and of not being hasty or impetuous.
• Honesty/Integrity – Ability to be truthful and be seen as credible in the workplace.
• Decision Making – Ability to make critical decisions while following company procedures.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Education

• Associate’s Degree (two-year college or technical school) Required, Field of Study: Health Information Management or related field.

Experience

• Hospital and/or medical clinic experience preferred.
• Two years experience as a medical coder preferred

Computer Skills

• Basic Microsoft Office
• EPIC experience preferred

Certifications & Licenses

• Registered Health Information Technician or related certification, required within 6 months of hire.