Duration: 3 months to start
Job Description
- Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance.
- Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting.
- Typically reports to Coding Manager
Education:
- High School Diploma or GED required
- Associate Degree in medical area, preferred
- Certified Coding Specialist (CCS), or
- Certified Professional Coder (CPC), or
- Registered Heath Information Technician (RHIT), or
- Certified Medical Coder (CMC)
- Certified Coding Associate (CCA)
- Two (2) years outpatient Neurosurgery (preferred), Required 2 Years outpatient E/M coding experience required, six (6) months of HCC experience preferred
- Ability to code Neurology for physicians
- Effective oral and written communication skills.
- EPIC Experience Preferred
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
- Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4 and modifiers.
- Reviews documentation to extract and enter data accurately for other abstracting fields.
- Follow coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
- Ability to communicate with providers, leadership and clinical staff; Query and provide guidance on documentation/coding
- Ensures safe care to patients, staff and visitors; adheres to all company policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
- Models the client’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.




