Coding Specialist I

Halifax Health; Daytona Beach (FL); Presencial; USD 55 000 - 75 000; Tempo integral

Resumo da oferta

Halifax Health is seeking a Coding Specialist I to code ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and CPT-4/PCS procedures. You will verify charges and ensure coding accuracy, completeness, and appropriate modifiers, working with physicians and departments to maintain compliance and high-quality documentation.

Minimum requirements include an accredited coding education, 1 year ED/Ancillary coding experience, and RHIT/CCS/CCSP/CPC credentials.

Qualificações

• Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS.
• Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
• Knowledge of Local Coverage Determinations and National Coverage Determinations.
• Professionalism in interpersonal communication with physicians, colleagues, and ancillary departments.
• Ability to organize, prioritize, analyze, and implement daily tasks; self-starter with minimal supervision.
• Ability to handle multiple responsibilities in stressful situations.
• Query attending physicians for documentation and diagnostic clarification.
• Validate medical necessity for all Medicare patients and verify charges meet OCE and NCCI edits.
• Support and participate in process and quality improvement initiatives.
• Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines.

Responsabilidades

• Code ED, Recurring and Ancillary accounts using ICD-10-CM and CPT-4/PCS codes.
• Verify ED and ancillary department charges; ensure accuracy, completeness, and appropriateness of diagnosis codes.
• Assign appropriate modifiers.
• Review medical record information for proper code assignment: principal diagnosis, co-morbidities, complications, secondary conditions and procedures.
• Query physicians for documentation clarification.
• Ensure compliance with Medicare coding rules and payor edits.
• Participate in quality improvement initiatives.

Conhecimentos

Attention to detail

Professionalism

Organization

Multitasking

Problem solving

HIPAA knowledge

Formação académica

RHIT

CCS

CCSP

CPC

Ferramentas

Encoders

CAC

EHRs

Descrição da oferta de emprego

Day (United States of America)

Coding Specialist I

The Coding Specialist I is responsible for the coding of ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. This position is also responsible for verifying all ED and ancillary department charges, ensuring they meet all OCE and NCCI edits. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers.

• Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS
• Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
• RHIT, CCS, CCSP, CPC or equivalent certifications required
• Knowledge of Local Coverage Determinations and National Coverage Determinations
• Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
• The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
• The ability to handle multiple responsibilities and tasks in stressful situations
• Problem solving, analytical and critical thinking skills
• The ability to maintain confidentiality, knowledge of HIPAA laws
• ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Experience with Encoders, CAC, EHRs and general computer skills.
• Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
• Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
• Query attending physicians for documentation and diagnostic clarification
• Validate medical necessity for all Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI edits
• Support and participate in process and quality improvement initiatives
• Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines