Coding Specialist I - Family Practice Center

Staff_02 Halifax Staffing Inc.; United States; On-site; USD 52,000 - 76,000; Full time

Job summary

Halifax Health is seeking a Day Coding Specialist I for the Family Practice Center to code ED, Recurring and Ancillary accounts using ICD-10-CM and CPT-4, and to verify charges and modifiers. Your work will ensure documentation aligns with coding guidelines and Medicare requirements.

You'll review records, query physicians for clarification, and maintain HIPAA confidentiality while supporting process improvements in a fast-paced environment.

Qualifications

• 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

Responsibilities

• Code ED, Recurring and Ancillary accounts using ICD-10-CM and CPT-4
• Verify and ensure accuracy of charges and modifiers across departments
• Review records for principal diagnosis, co-morbidities and procedures
• Query physicians for documentation clarification
• Ensure Medicare/charges meet OCE/NCCI edits
• Support quality improvement initiatives and maintain HIPAA compliance

Skills

Problem solving

Analytical thinking

Attention to detail

Organizational skills

Communication with physicians

Work under pressure

Confidentiality/HIPAA

Education

2-year college coding course incl anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS

RHIT, CCS, CCSP, CPC or equivalent certifications

Tools

Encoders

CAC

EHRs

Job description

Day (United States of America) Coding Specialist I - Family Practice Center

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

We're glad you're here. As a cornerstone of our community, we need strong, compassionate and talented medical professionals just like you. Our team works together to ensure that families receive the highest-quality care in a pleasant setting where they feel valued.

Halifax Health offers the area's only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks.