*Specialist-Clinical Coding II

Indiana University Health System; Indiana (PA); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Indiana University Health System seeks a skilled coding professional to review clinical documentation, assign ICD-10-CM, CPT, and HCPCS codes, and ensure accurate APCs. The role requires reading medical records, strong concentration, and clear communication with physicians. Hybrid work arrangement requires Indiana residence.

You will progress from onboarding to handling complex coding for both IP and OP settings, with denials management and adherence to compliance standards.

Qualifications

• Requires high school diploma or equivalent.
• RHIT or CCS credential required.
• Minimum 3 years of experience in ICD-9, CPT code assignment and APC grouping.
• Ability to read, understand and interpret medical records and other treatment documentation.
• Requires high level of concentration and ability to work in a high-volume environment.
• Effective written and verbal communication 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.
• Work coding-related denials.
• Maintain coding quality, productivity, and compliance.
• Provide operational support to stay current on workflows and functions.

Skills

High concentration

Communication skills

Medical record interpretation

ICD-9 / CPT knowledge

Physician communication

Education

RHIT or CCS credential

High school diploma or equivalent

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)