Certified Coding Specialist I

Cook Children's Health Care System; Town of Texas (WI); Remote; USD 65,000 - 90,000; Full time

Job summary

Cook Children's Health Care System is seeking a Certified Coding Specialist I to apply ICD-10-CM and CPT-4 coding to ambulatory surgery, ED, and clinic records. You will interpret medical records, assign codes with high specificity, and support physicians on documentation requirements.

The role emphasizes independent work, strong attention to detail, and collaboration with various departments, while maintaining current knowledge of coding rules and guidelines.

Qualifications

• High School Diploma required.
• CCS or CPC credential required.
• RHIA or RHIT preferred; experience with ICD-10-CM & CPT-4 evaluation & management coding preferred.

Responsibilities

• Code ambulatory surgery, ED, outpatient and clinic visit records with ICD-10-CM and CPT-4 codes.
• Communicate coding requirements with physicians and other providers.
• Collaborate with departments to ensure accurate documentation and compliance.
• Maintain up-to-date knowledge of coding rules and guidelines.

Skills

ICD coding

CPT coding

Attention to detail

Interpersonal skills

Independent work

Critical thinking

Health insurance processing

EMR software

Education

High School Diploma

CCS or CPC certification

RHIA or RHIT (preferred)

Tools

Electronic medical record systems

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 Diploma
• Required: CCS or CPC
• Preferred: 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.