Certified Coding Specialist I

CCPN Cook Children's Physician Network; Town of Texas (WI); Hybride; USD 60 000 - 82 000; Plein temps

Résumé du poste

CCPN Cook Children’s Physician Network seeks a Certified Coding Specialist I to review medical records, assign ICD-10-CM and CPT-4 codes, and ensure accurate, timely coding for ambulatory surgery, clinics, and ED records. Collaboration with physicians and teams ensures compliant documentation and coding accuracy.

The role requires knowledge of ICD/CPT guidelines, EMR systems, and encoder tools, with a focus on accuracy and continual learning in a dynamic healthcare environment.

Qualifications

• CCS or CPC preferred for coding accuracy
• Knowledge of ICD-10-CM & CPT-4 rules and guidelines
• Experience with EMR, coding encoders, and healthcare terminology

Responsabilités

• Code a mix of ambulatory surgery, clinic visits, ED and observation records with ICD-10-CM and CPT-4
• Assign codes to the highest level of specificity based on physician documentation
• Communicate with physicians about documentation requirements
• Keep current knowledge of coding rules and guidelines across departments

Connaissances

ICD-10-CM & CPT-4

CCS/CPC preferred

RHIA/RHIT preferred

Medical terminology

Encoder software

EMR systems

Formation

RHIA or RHIT (preferred)

High School Diploma Required

Outils

Electronic Medical Records (EMR)

Automated encoders

Description du poste

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. Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.