Day (United States of America)

Coding Specialist I

The Coding Specialist I is responsible for the coding of ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. This position is also responsible for verifying all ED and ancillary department charges, ensuring they meet all OCE and NCCI edits. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers. - Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS
- Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
- RHIT, CCS, CCSP, CPC or equivalent certifications required
- Knowledge of Local Coverage Determinations and National Coverage Determinations
- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
- The ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- The ability to maintain confidentiality, knowledge of HIPAA laws
- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Experience with Encoders, CAC, EHRs and general computer skills.
- Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
- Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
- Query attending physicians for documentation and diagnostic clarification
- Validate medical necessity for all Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI edits
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines

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