Specialist-Clinical Coding II

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

Job summary

Indiana University Health System seeks an experienced Medical Coder to join our hybrid Indiana-based team. You will review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes.

Ideal candidates hold RHIT or CCS credentials, with 3+ years in ICD-9 coding, CPT and APC knowledge, and the ability to read medical records, stay focused in a high-volume environment, and communicate with physicians. You will also resolve pre-bill edits and support denials management while maintaining coding

Qualifications

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

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.

Skills

Attention to detail

Physician communication

Education

RHIT

CCS

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)