Coding Specialist

HopeHealth, Inc.; Florence (SC); On-site; USD 52,000 - 74,000; Full time

Job summary

HopeHealth, Inc. is seeking a Certified Coding Specialist to accurately interpret and code physician services under the Coding Manager. The role focuses on ICD-10 and CPT coding accuracy, compliance, and collaboration with the Revenue Cycle team.

The ideal candidate holds CPC or CRC credentials, experience with CPT/ICD10/HCPCS, and demonstrates strong attention to detail and organization. On-site position in Florence, SC, with a focus on accuracy and efficiency.

Qualifications

• High School Diploma or GED required; Associate degree preferred.
• CPC or CRC credentials through AAPC required with at least two years of CPT/ICD10/HCPCS coding experience.
• Knowledge of insurance industry and medical terminology.
• Excellent communication and organizational skills; detail-oriented.

Responsibilities

• Review assigned charts for correct ICD10 and CPT coding.
• Interpret progress notes and diagnostic reports to assign CPT and ICD10 codes.
• Educate Revenue Cycle staff on proper coding; coordinate with Revenue Cycle for claim issues.
• Maintain coding credentials through AAPC.
• Research coding questions to stay compliant with third-party and regulatory guidelines.
• Perform other assigned duties.

Skills

Attention to detail

Organizational skills

Under pressure

Communication skills

CPC/CRC credentials knowledge

CPT/ICD10/HCPCS coding

Insurance industry knowledge

Medical terminology/anatomy knowledge

Education

High School Diploma or GED

Associate degree preferred

AAPC CPC or CRC credentials

Job description

Overview Of The Position

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.

Overview Of The Position

Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.

Education And Experience

• High School Diploma or GED required. Associate degree preferred.
• Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years’ experience with CPT/ICD10/HCPCS coding of physician services.
• Knowledge of insurance industry and medical terminology/anatomy required.

Required Skills / Abilities

• Good oral and written skills.
• Detailed oriented with strong organizational skills.
• Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
• Demonstrates the ability to work in a high pressure environment
• Strong active listening skills, attention to detail, and decision-making skills are required
• Pleasant, friendly attitude with the ability to adapt to change is essential
• Superior problem- solving abilities is required
• Ability to collaborate with all departments
• Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
• Possess excellent customer service skills and be well organized.
• Ability to communicate effectively utilizing both oral and written means.

Ability to handle various tasks simultaneously while working efficiently, effectively, and independently

• Must be comfortable taking direction from Leadership

Supervisory Responsibilities

• None

Essential Job Functions

These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist’s responsibility while working to ensure excellence in service for the internal and external customers.

• Review assigned charts for correct ICD10 and CPT coding.
• Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
• Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
• Must maintain coding credentials thru AAPC.
• Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
• Perform other assigned duties.

Position Category

Certified Coding Specialist I

• Candidate has no previous medical billing or insurance industry experience
• Candidate has no previous coding experience

Certified Coding Specialist II

• Candidate has less than 5 years of medical billing or insurance industry experience and/or
• Candidate has less than 5 years of medical coding experience

Certified Coding Specialist III

• Candidate has more than 5 years of medical billing or insurance industry experience and/or
• Candidate has more than 5 years of medical coding experience

Physical Requirements

• Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.