Coding Specialist Certified

Children's Clinics for Rehabilitative Services; Tucson (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Children's Clinics for Rehabilitative Services in Tucson, AZ seeks a skilled medical coder to assign ICD and CPT/HCPCS codes from medical records, ensuring accurate, compliant documentation and timely billing.

The role requires collaboration with physicians and staff to clarify records, maintain confidentiality, and meet coding deadlines. Proficiency in EHRs, practice management systems, and ERP tools will support accurate abstracting and reporting.

Qualifications

• Education: High school diploma or GED, or Associate’s degree or equivalent from two-year College or technical school.
• Experience: Minimum one year related experience required.
• Licenses/Certifications: CPC or CCS required.

Responsibilities

• Analyzes medical information from records and accurately codes diagnostic and procedural information in accordance with national coding guidelines.
• Provides thorough, timely and accurate assignments of ICD and CPT/HCPCS codes.
• Consults with medical providers to clarify missing or inadequate records and refers inconsistent information for clarification.
• Input abstract data and codes into computer systems for distribution to payers and agencies.
• Supports quality improvement initiatives through team participation and data collection.

Skills

Anatomy knowledge

Medical terminology

Coding guidelines

Confidentiality

MS Office

EHR proficiency

Education

High School diploma or GED

Associate degree or equivalent

Tools

EHR software

Practice management systems

Abila ERP

QuickBooks

HRIS

Job description

SUMMARYThis position is responsible for evaluating medical records and documentation, providing clinical abstracts and assigning appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines. Works collaboratively and supports efforts of other team members. Supports quality improvement initiatives through team participation, data collection, process change implementations, and other activities. Maintains confidentiality and protects sensitive data at all times, including patient information, proprietary information and personnel information. Adheres to organizational and department specific safety standards and guidelines.ESSENTIAL FUNCTIONSAnalyzes medical information from medical records and accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirementProvides thorough, timely and accurate assignments of ICD and/or CPT4 codesAssists in promoting accurate diagnostic information and complete documentation by physicians, nurses and other professionals as requiredConsults with medical providers and clinical staff to clarify missing or inadequate records and refers inconsistent patient treatment information/documentation to supervisor or individual department for clarification/additional information for accurate code assignmentProvides Clinic with ICD, CPT and/ or HCPC changes quarterly or as neededPerforms other duties as required and assignedKNOWLEDGE, SKILLS AND ABILITIESKnowledge of anatomy, physiology and medical terminologyAbility to code records utilizing established coding guidelines and resourcesAbility to review all PTFs to ensure all codes are currentAbility to understand and meet coding deadlines to ensure timely submission of billsAbility to input abstract data and codes into computer to gather administrative and clinical data for distribution to outside regulatory agencies, third -party payers, administrative staff and physiciansAbility to audit physician coding for errors and discrepancieAbility to maintain confidentiality of patient, personnel, and corporate dataProficiency in Microsoft Office Suite and relevant software skillsTo include position specific: e.g. HRIS, donor database, EHR, practice management systems and tools, enterprise resource planning (ERP) such as Abila, QuickBooks, etc. scheduling software, volunteer management systems, etc.Ability to effectively manage time with a proven ability to meet deadlines; organization and attention to detailAbility to operate personal computer, calculator, fax machine, copier, and other office equipmentMINIMUM QUALIFICATIONSEducation:High school diploma or general education degree (GED), or Associate’s degree or equivalent from two-year College or technical school requiredExperience:Minimum one year related experience requiredLicenses and Certificates:CPC or CCS requiredAGE OF PATIENTS ATTENDED BY EMPLOYEE IN THIS POSITIONCheck all that apply:_X_ N/A ___ Neonatal (newborn) ___ Pediatric (birth-13) ___ Young Adult (14-21) ___ Adult (21-65)FINGERPRINT CLEARANCEEmployees are required to maintain a current Arizona Department of Public Safety Level 1 Fingerprint Clearance Card. Evidence of a current and valid fingerprint clearance card must be received to begin and maintain employment.PHYSICAL DEMANDS AND WORK ENVIRONMENTThe physical demands and work environment described here are representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel and talk and hear. The employee is occasionally required to stand and walk. Specific vision abilities required by this job include close vision, distance vision, color vision and ability to adjust focus. While performing the duties of this job, the employee may potentially be exposed to infectious organisms during routine and emergency situations. The noise level in the work environment is usually moderate.BLOODBORNE PATHOGEN CATEGORY: 3Category 1: Performs tasks that involve exposure to blood, body fluids or tissue. Use of appropriate protective measures should be required.Category 2: Performs tasks that involve no exposure to blood, body fluids or tissue but employment may require performing unplanned Category 1 tasks. The normal work routine involves no exposure to blood, body fluids or tissue but exposure or potential exposure may be required as a condition of employment. Appropriate protective measure should be readily available.Category 3: Performs tasks that involve no exposure to blood, body fluids or tissue and Category 1 tasks are not a condition of employment. The normal work routine involves no exposure to blood, body fluid or tissues.