Coding Specialist I EM

US Acute Care Solutions

1d•$19 - $35•Remote

About The Position

The Coding Specialist I is an entry level ED professional fee coder with less than 24 months of ED professional coding experience. The Coding Specialist utilizes critical thinking skills in evaluating medical necessity in regulatory policies. Apply knowledge of official coding guidelines and other regulatory guidelines through assignment of compliant, complete, and accurate ICD-10-CM diagnosis codes and CPT service codes for the professional component of rendered services based upon the clinical documentation provided within the medical record. Works collaboratively with other members of the Coding, Coding Quality and Clinician Education team to complete all essential responsibilities in a timely fashion to meet the quality, utilization, and financial needs of the organization.

Requirements

Knowledge of and experience using ICD and CPT coding.
Knowledge of payor guidelines.
Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry.
Ability to work independently and make decisions.
Ability to pay close attention to detail.
Ability to identify research and solve problems and discrepancies.
Ability to communicate with employees, management and physicians in a courteous and professional manner.
Ability to maintain confidentiality.
Ability to process assigned duties in an organized manner.
High school diploma or equivalent.
One or more of the following credentials REQUIRED within 12 months of employment - Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist – Physician-Based (CCS-P).

Responsibilities

Examines medical records to determine the proper ICD (diagnosis) and CPT (procedure codes) to be assigned
Utilizes coding tools & resources to verify the correctness of CPT and ICD codes assigned.
Abstracts data including providers, injury info, quality measures, and others as needed.
Maintains knowledge of current trends and practices in coding principles and government regulations through reading materials and/or attendance at educational meetings or seminars.
Maintains appropriate certification.
Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies.
Communicates risk management concerns to appropriate parties.
Completes priority accounts (Holds) daily.
Refers complex issues to designated work queues.
Participates in coder specific training and education based on audit metrics and trends.
Review and analyze content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers according to national coding guidelines, USACS policies and SOPs.
Answer coding and abstracting questions from coding leadership, compliance, clinicians, etc.
Maintain coding accuracy rate of ≥ 95%.
Maintain coding productivity (Milestone based standards) rate of ≥ 95%.
Maintain minimum of 15 CEUs per quarter either through Nthrive and/or other company sponsored webinars and programs.
Accurately identify and enter core abstracting elements such as physician and APP attributions.
Identify documentation trends and topics for education/feedback to physicians and APPs.
Keep current with coding and industry changes through participation in educational opportunities.
Thorough understanding of updates from intermediaries, carriers, government agencies, third party payers to ensure proper documentation, coding and compliance.
Thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payor specific guidelines.
Assists with special projects as needed and performs related duties as assigned.