Medical Coding Specialist

Emerus Holdings, Inc.; Houston (TX); On-site; USD 60,000 - 85,000; Full time

Job summary

Emerus Holdings, Inc. is seeking a skilled Medical Coder to review medical records and assign ICD-10-CM and CPT-4/HCPCS codes for Emergency Facilities, Inpatient, Observation and Ancillary services in Houston, TX. Must know HIPAA, anatomy, and medical terminology.

3+ years of coding experience; CPC/CPC-H/CIC/CCS or RHIA/RHIT preferred. Proficiency with EPIC, Cerner or PICIS EMR and Stockell InsightCS, and with MS Office.

Qualifications

• High School Diploma or GED is required.
• 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes.
• CPC, CPC-H, CIC, COS or CCS, or RHIA/RHIT certification preferred; or RHIA/RHIT with 3+ years experience.
• Experience coding emergency or hospital ancillary services is preferred.
• HIPAA guidelines and regulations knowledge is required.
• Proficiency with Microsoft Office tools (Word, Excel, Outlook) is required.

Responsibilities

• Review clinical documentation to extract data and apply ICD-10-CM and CPT-4 codes including IV infusion and injection codes.
• Review docs to extract data and apply HCPCS and facility level Evaluation & Management codes for billing.
• Abstract and code diagnoses and procedures from health records using appropriate classification systems.

Skills

ICD-10-CM coding

CPC/CPC-H/CIC/CCS

HIPAA knowledge

EMR terminology

MS Office

Education

High School Diploma or GED

RHIA or RHIT certification with 3+ years experience

CPC, CPC-H, CIC, COS or CCS certification

Tools

EPIC Community Connect

Cerner

PICIS EMR

Stockell InsightCS

Job description

The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services.

Basic Qualifications

• High School Diploma or GED, required
• CPC, CPC-H, CIC, COS or CCS, or other coding certification, preferred, OR RHIA or RHIT certification with 3+ years of experience, required
• 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required
• Experience coding emergency or hospital ancillary services, preferred
• Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
• Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
• Proficiency with patient accounting systems, preferred
• Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred
• Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
• Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
• ICD 10 Training/Education
• Position requires fluency in English; written and oral communication

Essential Job Functions

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes
• Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing
• Abstract and code diagnoses and procedures from health records by using appropriate classification systems

Other Job Functions

• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Ability to work off hours and overtime