Hospital Coding Specialist II

West Tennessee Healthcare; Jackson (TN); On-site; USD 60,000 - 85,000; Full time

Job summary

West Tennessee Healthcare in Jackson, TN is seeking a Hospital Coding Specialist II to code ICD-10-CM and CPT for diverse cases on an 8-hour day shift, five days a week. The incumbent ensures accurate transfer of codes to billing and supports documentation improvement.

Candidates should be proficient in ICD-10-CM and CPT guidelines, with AHIMA/CCA credentials, and be prepared for audits, denial management, and ongoing education.

Qualifications

• RHIA, RHIT, or CCS certification or CCA credential with 3–5 years hospital coding experience.
• In-depth knowledge of ICD-10-CM/PCS and CPT coding guidelines.
• Experience with coding audits and documentation improvement.

Responsibilities

• Review electronic medical records to assign ICD-10-CM diagnosis and CPT procedure codes.
• Ensure accuracy and consistency with CMS guidelines and payor requirements.
• Identify documentation opportunities and complete physician queries as needed.
• Enter charges into billing systems and respond to coding audits and denials.
• Maintain compliance with hospital policies and ongoing education.

Skills

ICD-10 coding knowledge

CPT coding knowledge

Documentation improvement

Medical terminology

Education

RHIA/RHIT/CCS credential

CCA credential

Tools

Coding software

Billing system

Job description

Category:Admin SupportCity:JacksonState:TennesseeShift:8 - Day (United States of America)Job Description Summary:Hospital Coding Specialist II is responsible for the coding and optimization of electronic medical records. Incumbent is responsible for assigned 8-hour shift, 5 days a week. Employee is subject to call back and overtime as required by the hospital.Essential Job FunctionsStrongly knowledgeable of the ICD-10 Official Guidelines for Coding and Reporting provided by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) and the American Medical Association (AMA) CPT Coding Guidelines. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association.Reviews electronic medical records and identifies all treated diagnoses and significant procedures performed.Uses coding software to assign ICD-10-CM diagnosis and CPT procedure codes and modifiers when indicated, to ensure coding and APC accuracy.Sequences diagnosis codes according to the definition of primary diagnosis and other co-morbid conditions and complications. Sequences procedure codes according to the definition of primary procedure and other procedures.Utilizes online coding references, CMS Local Coverage Determinations (LCDs), and other payor guidelines to ensure appropriate code assignment for Compliance, Billing, and Medical Necessity.Ensures all diagnosis, CPT procedure codes and modifiers, procedure dates, and surgeons are accurately transferred from the coding software to the coding and billing application.Identifies and communicates documentation opportunities relative to appropriate coding assignment. Completes physician queries as indicated for clarification of documentation.Utilizes abstracting application to enter and /or update Consulting Physicians, Discharge Dispositions, and Attending Physician.Enters surgical procedure charges into billing system for all invasive surgical procedures done in the Radiology Department and in the Pain Clinic.Reviews and responds to internal and external coding audits in a timely manner.Reviews and resolves coding and reimbursement related denials and edits to ensure timely submission of claims.Remains informed of continual changes in coding and billing and maintains compliance with federal, state and hospital policies.Completes all assigned online training and education activities timely and attends all required onsite meetings.Responds to e-mails and requests from Supervisor, Manager and other hospital employees in a professional and timely manner.Consistently meets required productivity and accuracy standards.Responsible for maintaining coding certification.Performs related responsibilities as required or directed.JOB SPECIFICATIONS:EDUCATION:Skill and proficiency in diagnosis and procedure coding, and other principles, concepts and techniques of Health Information Management. Such proficiency is acquired through either an RHIA, RHIT, or CCS credential or a program accredited by AHIMA or a CCA credential with a minimum of 3-5 years coding experience.LICENSURE, REGISTRATION, CERTIFICATION:Current certification as RHIT, RHIA, or CCS by AHIMA or certification as CCA by AHIMA with a minimum of 3-5 years hospital coding experience.EXPERIENCE:Knowledge of Health Information Management practices, coding and coding guidelines, as acquired through RHIA, RHIT or CCS credentials or a CCA credential with a minimum of 3-5 years of hospital coding experience. Meets all experience requirements for the Coding Specialist I and ability to code a minimum of 45 outpatient surgery and observation records per day.NONDISCRIMINATION NOTICE STATEMENTWe are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.