Coding Specialist II

Monday - Friday 8

00am - 4:30pm Hybrid role after on-site and some virtual training On-site near Deer Valley - 101 & I17

Overview

Responsibilities

• Job Summary Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types for data retrieval, billing, and reimbursement.
• Must be able to code at least two outpatient visit types or possess at least 2 years of IP coding experience or comparable clinical experience.
• DRG and APC assignment analysis to accurately reflect the diagnosis/procedures documented in the medical record.
• Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Assist management with assigned special projects which may include training and education.
• Essential Functions Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types which may include inpatient, observation, ambulatory and emergency room records for billing and reimbursement.
• Review CDI notes in Midas to ensure consistent coding.
• Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record.
• Abstract clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted.
• Communicate with Medical Staff as appropriate to clarify documentation issues for accurate coding.
• Assist Patient Financial Services with interpretation and selection of appropriate ICD or CPT codes and /or other information requested for accurate billing and reimbursement.
• Possess knowledge and understanding of failed bill parameters.
• Review and ensure accurate procedure charge capture for Emergency and Observation visit types.
• Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
• Participates in continuing education activities to enhance knowledge, skills and keep credentials current.
• Education Associate's degree BA/AA degree, CCS, RHIT, CPC, RHIA, COC, or CEMC certification - Preferred Other CCS, RHIT, CPC or RHIA certification - Required Experience 2 to 3 years inpatient coding experience or the ability to code at least two of the following patient types: same day surgery, observation, emergency room. - Required 3 to 5 years hospital-based coding experience using 3M encoder software - Preferred Licenses and Certifications Non-Clinical\CCS - Certified Coding Specialist Certified Coding Specialist OR CPC - Required Non-Clinical\RHIA - Registered Health Information Administrator Registered Health Information Administrator - Required Non-Clinical\RHIT - Registered Health Information Technician Registered Health Information Technician OR - Required