Certified Coding Specialist II - Remote

Certified Coding Specialist II - Remote

POSITION DESCRIPTION :

Facilitates proper medical coding for general and specialty surgery procedures, add-on codes and other services alike. Is considered a subject matter expert in the codes and terminologies used in multiple specialties (i.e., Breast Surgery, Cardio and Thoracic Surgery, Colorectal Surgery, General Surgery, Hand Surgery, Orthopaedic Surgery, Plastic and Reconstructive Surgery, OB Surgery, Trauma and Surgical Critical Care, Vascular Surgery, Neurosurgery, Bariatric Surgery and more).

ESSENTIAL JOB FUNCTIONS :

The following job functions may not be the responsibility of all Certified Coding Specialist I’s. Some Certified Coding Specialist I’s will be assigned work that has more focused responsibilities.

• Reviews providers’ surgical operative notes and assigns CPT and diagnosis codes as appropriate.
• Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines, disseminating info to staff and providers as necessary.
• Runs daily reconciliation reports to ensure all charges are captured for each procedure and operative note entered into EPIC by physicians.
• Informs provider of coding and documentation updates as necessary.
• Maintains 90% accuracy of surgical coding measured by biyearly audits.
• Serves as Subject Matter Expert resource and point of contact for Certified Coding Specialist I’s.
• Enters surgical charges into EMR system (EPIC).
• Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.
• Creates relationships with external organizations that allow for streamlining and quick resolution of billing matters for patients.
• Communicates and maintains a relationship with compliance to ensure accurate standards are followed.
• Attends meeting with physicians and other clinical staff as required.
• Coordinates and follows through with special projects as assigned.
• Performs other duties as assigned.

ORGANIZATIONAL EXPECTATIONS :

MEASURED BY :

Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.

ESSENTIAL QUALIFICATIONS :

EDUCATION : High School Diploma or GED

CREDENTIALS / LICENSURE :

One of the following certifications is required : AAPC (CPC), PMIC (CMC), AHIMA (CCS-P).

Also required : Advanced certification through AAPC in the specialty.

MINIMUM EXPERIENCE : 2 years of professional coding experience required

POSITION REQUIREMENTS (ABILITIES & SKILLS) :

MINIMUM PHYSICAL EXPECTATIONS :

MINIMUM ENVIRONMENTAL EXPECTATIONS :

This job is mainly remote, there will be times you will be expected to come into the office and adequate notification will be given.

When working in-office, the job operates in a typical office environment which involves frequent interruptions and significant interaction with people, which can be stressful at times.

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