Specialist-Clinical Coding II

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

Job summary

Indiana University Health System is seeking a skilled health information coder to manage both inpatient and outpatient coding duties. The role requires RHIT or CCS credentials and at least 3 years of ICD-9 experience, CPT coding, and APC grouping.

The position is hybrid, requiring residence in Indiana, and entails reviewing clinical documentation, assigning ICD-10-CM, CPT, and HCPCS codes, and resolving pre-bill edits while maintaining high accuracy and productivity.

Qualifications

• Requires high school diploma or equivalent.
• RHIT or CCS credential required.
• Minimum 3 years of experience with ICD-9; CPT code assignment and APC grouping.
• Ability to read, understand, and interpret medical records and other treatment documentation.
• Must perform well in a high-volume environment with strong concentration.
• Effective written and verbal communication with physicians is essential.

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 coding-related denials.
• Maintain coding quality, productivity, and compliance standards.
• Provide operational support to stay current on workflows and functions.

Skills

ICD-10-CM coding

CPT coding

APC coding

Medical record review

Attention to detail

Interpersonal communication

Education

High school diploma or equivalent

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)