Certified Coding Specialist I

Cook Children's Health Care System; Austin (TX); Remote; USD 55,000 - 72,000; Full time

Job summary

Cook Children’s Health Care System is seeking a Certified Coding Specialist I to review medical records, assign ICD-10-CM and CPT-4 codes with precision, and ensure compliance with Medicare/Medicaid rules. This remote Texas-based position involves collaboration with physicians and multiple departments to ensure accurate coding for ambulatory surgery, ER, and clinic records.

The role requires CCS or CPC certification (RHIA/RHIT preferred) and at least one year of relevant full-time coding

Qualifications

• CCS or CPC certification required; RHIA/RHIT preferred.
• 1 year current and continuous full-time ICD-10-CM & CPT-4 E/M coding experience.
• Knowledge of medical terminology, anatomy and physiology and disease process.
• Experience with health insurance processing and documentation.
• Ability to work independently with minimal supervision.

Responsibilities

• Review patient records to assign ICD-10-CM and CPT-4 codes with high specificity.
• Code for ambulatory surgery, outpatient clinics, ER, and related visits.
• Communicate with physicians on documentation requirements and collaborate with departments as needed.
• Stay current with coding guidelines and Medicare/Medicaid rules.

Skills

ICD-10-CM coding

CPT-4 coding

Medical terminology

Communication skills

Detail-oriented

EMR systems

Education

High School Diploma

CCS

CPC

RHIA

RHIT

Tools

Electronic medical record software

Automated encoders

Job description

Location:Remote - TX

Department:Administration

Shift:First Shift (United States of America)

Standard Weekly Hours:40

Summary

The Certified Coding Specialist I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes a mixture of different types of Evaluation & Management medical records and assists with coding outpatient ancillary clinic, specialty clinic, surgical and emergency room record coding as necessary. Communicates with physicians and other providers regarding documentation requirements and collaborates with different departments on an as needed basis. Maintains current knowledge of coding and documentation changes, rules and guidelines.

Education & Experience

High School DiplomaRequired: CCS or CPCPreferred: RHIA or RHIT (1) year current and continuous full-time ICD-10-CM & CPT-4 evaluation & management coding.Knowledge of medical terminology, anatomy and physiology and the disease process.Ability to work well independently and productively with minimal guidance and supervision.Detail-oriented, organized and flexible with exceptional interpersonal and communication skills.Demonstrates coding skills and critical thinking skills utilizing current policies and procedures.Knowledge of health insurance processing.Skilled with electronic medical record applications, automated encoders, and other software applications.

About Cook Children’s

Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible.

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.