Outpatient Facility Coder – ICD-10 & CPT Specialist

NKC Health; Kansas City (MO); Hybrid; USD 52,000 - 76,000; Full time

Job summary

NKC Health is seeking an HIM Facility Coder to maintain clinical databases by coding and abstracting medical records. You will assign CPT, ICD-10, and HCPCS codes according to Official Coding Guidelines and CMS guidelines, ensuring first and second-listed diagnoses and procedures are accurate.

Working with Revenue Integrity and Patient Financial Services, you will resolve edits, verify code accuracy, and support claim processing while aiming for high quality and productivity.

Qualifications

• Associates degree in Health Information Management or related field is required.
• 1–3 years of facility medical coding/billing experience preferred.
• CCS/RHIA/RHIT certifications are preferred.

Responsibilities

• Maintains clinical databases through coding and abstraction of medical records.
• Assigns CPT, ICD-10 and HCPCS codes per Official Coding Guidelines and CMS guidelines.
• Collaborates with Revenue Integrity and Patient Financial Services to resolve edits and verify code accuracy.

Skills

Excel

Software learning

Education

Associates - Health Information Management

Associates - Related Field

Equivalent Experience/Certifications

Bachelors - Related Field

Job description

Summary

SUMMARY: SUMMARY: Under the direction of the HIM Department Director and Coding Supervisor, maintains clinical databases through coding and abstracting of medical records. Assigns appropriate CPT, ICD-10 and HCPCS codes in accordance with Official Coding Guidelines, CMS guidelines and internal policies. Demonstrates ability to determine first listed diagnosis, secondary diagnosis, and surgical procedures. The HIM Facility Coder collaborates with Revenue Integrity and Patient Financial Services to resolve edits, verify code accuracy and ensure claim processing. Receives and responds to educational feedback identified by Coding Compliance and Education. Achieves quality and quantity production standards, participates in professional development efforts, and maintains knowledge of medical record and provider documentation to maximize coding specificity with query opportunities.

EXPERIENCE:1-3 years of facility medical coding and/or billing experience preferred. Proficient knowledge of 3M and Oracle Cerner preferred. Working knowledge of Official Coding Guidelines and CMS guidelines. Strong understanding of medical terminology, anatomy and physiology, compliance and reimbursement guidelines. SPECIALSKILLS:Proficient computer skills, including Excel. Ability to learn and adapt to new software systems.

OTHER:Excellent communication and interpersonal skills, ability to work well within a team and independently.

LICENSE/CERT: Preferred: CCS (Certified Coding Specialist), RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician)

EDUCATION: Required: Associates - Health Information Management, Associates - Related Field, Equivalent Experience - equivalent combination of professional certification & job experience., Preferred: Bachelors - Related Field