Coding Specialist II

About the Job - Remote work opportunity in the following states: AL, FL, GA, IN, LA, MS, NV, NC, OK, SC, VA, WY

Location: NHRMC Business Center A

Department: Coding and Revenue Integrity

Full Time Equivalent: full-time

Work Type: 64 to 80 Hours Pay Period

Work Schedule: STD HRS - Standard-Exe or Office w flex

Exempt from Overtime: Exempt: No

What You'll Do

Summary:
Under the general direction of the Manager of Coding and Clinical Abstracting, this specialist is responsible for accurate coding of all ancillary and clinic visit diagnosis, procedures, and charges working from the appropriate documentation in the medical record of the patient. Classification systems include ICD-9-CM, ICD-10-CM and CPT-4. This specialist performs ongoing medical record reviews to assess completeness and timeliness of information to support services billed. This person is responsible for calculating and posting charges for facility levels, injections and infusions, and procedures for designated service areas. He/She must be knowledgeable about charge assignment, bundling, and appropriate modifier usage. The Coder I works with physicians and professional staff to obtain any necessary clarification concerning diagnosis and procedures and for monitoring reports such as the Discharges Not Final Billed (DNFB) daily schedules and timely filing lists. He/She must have a thorough understanding of facility charging guidelines, APC reimbursement, CCI rules and edits, and application of Local and National Coverage Determinations (LCD/NCDs). This person requires little supervision and performs all work independently, with a high degree of autonomy. All work is carried out in accordance with the department’s approved policies and procedures. This position is an advanced level technical position within the Coding Department.

Responsibilities:
1. Codes all diagnoses and procedures for ancillary and clinic services according to the appropriate classification system for that category of patient encounter, and in accordance with provisions of the Uniform Hospital Discharge Data Set as well as the interpretation of these provisions as issued by the American Hospital Association and American Health Information Management Association and all governmental and private Third Party rules and regulations.
2. Abstracts patient information from records of all assigned accounts and enters appropriate data elements into the computerized abstracting system.
3. Calculates and posts charges for facility levels, injections and infusions, and procedures for designated service areas. Adds appropriate modifiers and reviews accounts for charge errors. Performs or refers charge corrections to appropriate resource to ensure accurate billing.
4. Consistently meets (100%) coding productivity target and accuracy requirements (95% or higher).
5. Completes continuing education as required to maintain competency and credentials (if applicable) as well as to stay current with coding rules and guidelines.
6. Collaborates with physicians and other direct patient care professionals in questions regarding level of detail for diagnostic entries, according to the organization’s guidelines.
7. Promotes public relations through prompt and courteous service.
8. Fosters respect for patient privacy by maintaining confidentiality in all phases of work.
9. Performs those duties necessary to ensure all accounts are processed accurately and efficiently.
10. Maintains a successful working relationship with employees, medical staff, and other departments.

Position Requirements

Education: High School Diploma

Experience: At least one year coding/abstracting required, coding experience in an acute care setting, as well as experience with encoding software and electronic medical records preferred. 

Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence. Performs other duties as assigned. Individual will possess commensurate combination of education, experience and qualifications.