Coding Specialist II

Overview

We are seeking a Coding Specialist II to join our team at UnityPoint Health! This position reviews inpatient and outpatient medical records for documentation, abstracting and analyzing. The Coding Specialist will assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT, and HCPCS. Additionally, this role is responsible for understanding and properly applying modifiers, CCI edits, medical policy rules (e.g., LCD/NCD),tc., in compliance with payor regulations.

Location: Remote

Hours: Standard business hours 

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Coding & Department Support:

• Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable
• Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting
• Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations
• Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality
• Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers
• Monitor environmental conditions in order to secure protected health information
• Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site
• Maintain regular and consistent attendance at work
• Maintain compliance with Personnel policies and procedures
• Consistently research and resolve coding related denials per payer regulations
• Charge entry of CPT and ICD-9/ICD-10 codes
• Maintain quality scores at or above 95%
• Collection and/or analysis of coding-related data for training purposes or presentation as needed
• Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations

Qualifications

Education:

• Required: Highschool Diploma/GED
• Required: Completion of nationally recognized coding program (AHIMA/AAPC)
• Preferred: 2 year Health Information Technology Program

Experience:

• Required: Three (3) years professional coding experience

Licenses/Certifications: 

• Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) certification