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Job Description Summary

Coding Specialist assigns codes to accounts using ICD-10-CM and ICD-10-PCS coding skills, and ensuring the accuracy of assigned codes by following industry standards and recognized coding guidelines.

Job Description

Essential Functions

• Reviews relevant information from patient records.
• Examines documents for missing information; Taking appropriate actions to correct.
• Assigns appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), ICD-10-CM, Modifiers, and Diagnosis Related Group (DRG) codes based on documentation. 
• Informs supervisor of issues with software or provider documentation templates.
• Communicates any coding or billing guideline changes to staff.
• Participates in provider coding review, as requested.
• Must complete data entry, know use of internet, and know use of any other applicable applications.
• Works closely with clinical team for accurate charges and modifiers.
• Provides a variety of support services in connection to the day-to-day operations in a health care environment.
• Researches and resolves client coding billing problems or issues.
• Troubleshoots problems and provide information to supervisor.
• Conducts work functions to assist with late charge processes.
• Works as part of a multi-disciplinary team to provide answers to inquiries and questions.
• Performs other duties as requested by primary manager that do not compromise moral code of conduct or protocols set in place for patient or employee safety.

Supervised Positions

• None

Qualifications

Minimum Education Required

• High school diploma or equivalent;
• Certified Professional Coder (CPC)

Minimum Education Preferred

• Knowledge of anatomy, physiology and medical terminology

​Minimum Experience Preferred

• Six (6) months of healthcare experience

Required Knowledge/ Skills/ Abilities

• Attain training and educational sessions to maintain coding certification and improve coding accuracy and efficiency.
• Maintains current certifications appropriately as required.
• Maintains working knowledge of regulatory guidelines for billing.
• Excellent oral and written communication skills
• Demonstrates knowledge of personal computers
• Ability to make informed choices in a fast paced environment
• Working knowledge of coding guidelines
• Maintains current knowledge regarding coding and diagnostic procedures.
• Willingly works cooperatively and collaboratively within and between departments to provide quality services.
• Demonstrates a commitment to the provision of high quality services and contributes to quality outcomes and performance improvement in the department as well as the organization.
• Accepts accountability for own work and team outcomes when appropriate.
• Recognizes and employs team efforts to achieve departmental/organizational goals.
• Demonstrates effective time management techniques.
• Demonstrates responsibility for educational requirements as evidenced by reading all assigned coding related references, and attending all required coding educational meetings, or webinars, and completing annual Symplr requirements.
• Adhere to coding guidelines, industry standards, and hospital policies to ensure compliance with federal and state regulations.
• Continuously stays informed of changes to coding guidelines, payer requirements, and industry best practices.
• Demonstrates commitment to organizations five (5) priorities and Six (6) Ground Rules
• Person in this position is required to understand, agree upon and follow our Six (6) Ground Rules:
  • No excuses.
  • We are a team.
  • Bring up your ideas.
  • Poor performance will be addressed.
  • ‘That’s not my job’ is not acceptable
  • Manage Up.

In addition to all of the above, home office employees are expected to:

• Maintain professional decorum and dress appropriately for virtual or onsite meetings.
• Need to focus and manage distractions.
• Protects patient health information (PHI) and abides by organization’s privacy policies.
• Ensures all duties are performed in compliance with HIPPA regulations.
• Strong work ethic is a must.

Shift

Day

Shift Details

8:00 am - 4:30 pm

FTE

1

Type

Regular

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Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.