Senior Coding Specialist

UKG; Chesapeake (VA); On-site; USD 36,000 - 59,000; Full time

Job summary

UKG is seeking a Senior Coding Specialist to accurately assign and sequence ICD-10-CM/PCS and CPT-4/HCPCS codes for inpatient and outpatient records in Virginia. The role requires meticulous attention to documentation, adherence to coding guidelines, and collaboration with clinical staff to obtain complete records.

Responsibilities include selecting DRG and APC, abstracting data, entering information into coding systems, and ensuring compliance with accuracy targets.

Qualifications

• Education: CCS, CPC, COC, RHIA, RHIT. AHIMA approved coding certificate preferred.
• Experience: 4+ years recent acute hospital coding experience; metrics/skills assessment required.

Responsibilities

• Code diagnostic and procedural information using ICD-10-CM/PCS and CPT-4/HCPCS.
• Sequence diagnoses and procedures following ICD-10-CM guidelines and industry standards.
• Select DRG for inpatient discharges and APC for outpatient visits; ensure coding compliance.
• Abstract medical data and complete discharge abstracts for various visit types.
• Enter patient information into inpatient/outpatient medical record databases with high accuracy.
• Maintain productivity and accuracy targets; focus on emergency department coding.
• Provide education to physicians and staff on coding and documentation compliance.

Job description

• Pay or shift range: $26 USD to $43 USD
  The estimated salary range is provided in accordance with Virginia Pay Transparency requirements. Final salary offers are calculated based on job-related factors, including education, experience, location, shift, skills, specialties, and/or other relevant qualifications or criteria.

Description

The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.

Essential Duties and Responsibilities

• Code diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
• Work cooperatively with the medical staff and other health care professionals in obtaining documentation to complete medical records and ensure quality coding.
• Select the DRG for each inpatient discharge and APC for each outpatient visit. Ensure coding compliance based on approved coding guidelines and conventions.
• Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit. Complete and verify diagnostic and demographic information.
• Enter patient information into computerized inpatient and outpatient medical record databases. Ensure accuracy and integrity of medical record abstract data prior to billing interface and claims submission.
• Routinely code Emergency Department records and enter E&M charges the majority of productive time. Meet productivity and quality standards for emergency department coding routinely. Code inpatient, outpatient surgery and ancillary records as determined by Coding Operations Manager.
• Provide compliance/documentation education sessions to physicians and hospital staff as requested.
• Investigate, respond to, and communicate information regarding coding, documentation, and compliance questions relating infusions and injections performed in the Emergency Department and OBV. Charge capture for Observation, Emergency Department.
• Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate.
• Attend other continuing education functions as necessary to maintain credentials, regardless of whether the educational programs are supported by the Department budget.

Education and Experience

Education: One of the following credentials are required - CCS, CPC, COC, RHIA, RHIT. Successful completion of a coding certificate program with AHIMA approval status is preferred.

Experience: Four or more years recent experience coding in an acute hospital setting required with coding ability demonstrated via a skills assessment. Must be able to operate or utilize fax machine, copy machines, microfiche reader/printer and Windows-based computer functions.

Licenses & Certifications

Required

High School or better.

Licenses & Certifications

Required

Registered Health Info Ad

Equal Opportunity Employer
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