Specialist-Clinical Coding II

Indiana University Health; Indiana (PA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Indiana University Health seeks an experienced Medical Coder to join our coding team. You will review clinical documentation, assign ICD-10-CM, CPT, and HCPCS codes, and ensure accurate APC assignments across inpatient and outpatient settings.

Ideal candidates hold RHIT or CCS credentials with at least three years of ICD-9 coding experience and the ability to read medical records. You must thrive in a high-volume environment with strong written and verbal communication with physicians.

Qualifications

• RHIT or CCS credential is required.
• Minimum of 3 years of ICD-9 coding experience; CPT assignment and APC grouping.
• Ability to read, understand and interpret medical records and other treatment documentation.
• Must work effectively in a high-volume environment and communicate with physicians.

Responsibilities

• Review clinical documentation and diagnostic results.
• Assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure accurate APC assignment.
• Resolve pre-bill coding edits and work coding-related denials.
• Maintain coding quality, productivity, and compliance standards.
• Provide operational support to stay current on workflows.

Skills

Reading medical records

High concentration

High-volume environment

Verbal communication

Written communication

Attention to detail

Education

RHIT or CCS credential

Tools

Epic

IDX

3M

Excel

FinThrive KnowledgeSource

Job description

Schedule:

Days (hours may vary)

Hybrid:

Must reside in Indiana

Preferred Specialty Experience:

• OB/GYN coding experience
• Inpatient (IP) and Outpatient (OP) coding experience

Benchmarks for Success

1-4 Months

• Complete onboarding and compliance requirements
• Gain access to required systems
• Shadow team members and workflows
• Begin outpatient coding responsibilities

4-9 Months

• Perform more complex coding assignments
• Meet productivity and accuracy standards
• Work coding denials and pre-bill edits

9-12 Months

• Independently code complex cases
• Proficient in both inpatient and outpatient coding
• Function fully independently within the role

Top Responsibilities

• Review clinical documentation and diagnostic results
• Assign accurate ICD-10-CM, CPT, & HCPCS codes
• Ensure accurate APC assignment
• Resolve pre-bill coding edits
• Work coding-related denials
• Maintain coding quality, productivity, and compliance standards
• Provide operational support as needed to remain current on workflows and functions

Required Skills

• Requires high school diploma or equivalent.
  RHIT or CCS credential required.
  Requires a minimum of 3 years of relevant experience in ICD-9; CPT code assignment and APC grouping.
  Requires ability to read, understand and interpret medical records and other treatment documentation.
  Requires high level of concentration.
  Requires the ability to function effectively in a high-volume environment.
  Requires effective written and verbal communication skills to communicate with physicians.

Preferred Certifications

• CPC (AAPC)
• CCS (AHIMA)

Systems Experience Preferred

• Epic
• IDX
• 3M
• Excel
• FinThrive (KnowledgeSource)

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.