Professional Coding - Certified Coding Specialist (Full-time, Monday - Friday, 8:00am-5:00pm)

Washington-Regional-Medical-Center; Fayetteville (AR); On-site; USD 50,000 - 75,000; Full time

Job summary

Washington-Regional-Medical-Center is seeking a Coding Specialist – Certified to assign ICD-CM/ICD-PCS codes and DRG classifications for patient records. The role collaborates with CDS and physicians to ensure accurate documentation and compliance with Medicare and coding guidelines.

Responsibilities include abstracting data for billing, ensuring data quality, and supporting hospital data integrity through precise coding and strong communication with clinical teams.

Qualifications

• High School Diploma or GED is required.
• RHIA, RHIT, CCS, CIC, CPC, CCA certifications required.
• Minimum 6 months of coding experience; minimum 2 years inpatient coding preferred.
• CDI programs and clinical validation experience preferred.

Responsibilities

• Abstract information from patient records into the computer system for statistical and billing purposes.
• Assign ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments and other data as applicable.
• Coordinate with Clinical Documentation Specialists and physicians to validate documentation for accurate codes and ROM/SOI/DRG.
• Query physicians when code assignments or documentation are inadequate and stay current with coding guidelines and requirements.

Skills

ICD-10-CM/PCS coding

Clinical documentation improvement

Data entry & accuracy

Education

High School Diploma or GED

Job description

Position SummaryThe role of the Coding Specialist – Certified reports to the Coding Manager. This position is responsible for the application of the appropriate diagnostic and procedural codes to individual patient medical records for data retrieval, analysis and claims processing.Essential Position ResponsibilitiesAbstract pertinent information from patient records into the appropriate computer system for statistical and billing purpose; assigns the correct ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments and other data as applicableCoordinate with the clinical documentation and quality teams to ensure validation of Medicare Severity Diagnosis Related Group (MSDRG), patient safety indicators, and hospital acquired conditions are supported by physician documentation to support appropriate codingWorks with Clinical Documentation Specialists (CDS) and physicians to identify and address documentation improvement needs that support accurate code, Risk of Mortality (ROM), Severity of Illness (SOI), and DRG assignmentQuery physicians if there are discrepancies in the code assignment or documentation in the electronic medical record is inadequateRemain knowledgeable of current coding guidelines, reimbursement, and reporting requirementsEnsure coding accuracy rate is met as established by department goals and objectivesQualificationsEducation: High School Diploma or GEDLicensure and Certifications: RHIA, RHIT, CCS, CIC, CPC, CCA, required.Experience: Minimum of 6 months of coding experience, required. Minimum 2 years inpatient coding experience, preferred. Experience with Clinical Documentation Improvement programs and clinical validation, preferred. Working knowledge of quality metrics and risk adjustment coding impacts, preferred.Work Environment: This position will spend 90+% of the time sitting while performing work in a standard office environment.