Job Description

Job Description

Job Description

Job Overview
Our client is seeking a detail-oriented and knowledgeable Coding Specialist to join their healthcare team. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with industry standards. This role is crucial in maintaining the integrity of patient data and facilitating efficient billing processes. The Coding Specialist will work closely with healthcare processionals to ensure accurate documentation and coding of diagnoses, procedures, and services.

Duties

• Review and analyze medical records to assign appropriate codes using ICD-10, ICD-9, and DRG classifications.
• Ensure compliance with medical coding guidelines and regulations.
• Collaborate with healthcare professionals to clarify documentation and coding discrepancies.
• Maintain up-to-date knowledge of medical terminology, coding systems, and billing practices.
• Review claims ensuring accuracy in coding for medical billing and collections.
• Conduct audits of coded data to identify areas for improvement and ensure adherence to quality standards.
• Stay informed about changes in coding regulations and participate in ongoing education related to medical coding.

Title: Medical Coder - Level I

Experience

This professional will apply ICD-10-CM coding guidelines – for inpatient, outpatient, and physician settings – and related Official Coding Clinic. A minimum of one (1) year experience (non-internship) in coding general acute hospital (inpatient and outpatient), multi-specialty physician office by applying ICD-10-CM coding guidelines – for inpatient, outpatient, and physician settings – and related Official Coding Clinic.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Title: Medical Coder - Level II

This professional will abstract and perform ICD-9/ICD-10-CM coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-10-CM Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics. A minimum of five (5) years of experience in abstracting and ICD-9/ICD-10-CM coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-10-CM Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics.

Other

• Ability to function in a lead role and/or train Health Information Management (HIM) medical record reviewers.
• Knowledge and skills to serve as “Master Coder” (i.e., gold standard) for all coding projects.

Education and/or Experience (Level I & II)

• Minimum Highschool diploma or equivalent

One of the following Certifications

• Registered Health Information Administrator (RHIA) or;
• Registered Health Information Technician (RHIT) or;
• Certified Coding Specialist (CCS) or;
• Certified Professional Coder (CPC)

Skills

• Proficiency in medical records management and understanding of medical terminology.
• Strong knowledge of ICD-10, ICD-9, DRG classifications, and their application in coding.
• Experience with medical billing processes and collections.
• Attention to detail with excellent analytical skills for accurate code assignment.
• Ability to work independently as well as collaboratively within a team environment.
• Familiarity with electronic health record (EHR) systems and coding software is preferred.
• Strong communication skills to effectively interact with healthcare providers regarding documentation requirements.

Work Location and Environment

100% Remote

PHI/PII Requirement: Yes. The Candidate is required to maintain data security while working in a remote workplace.

Travel Requirements

None

Join our dedicated team where your expertise in medical coding will play a vital role in enhancing patient care through accurate record-keeping and billing practices.

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