The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached, and capture charges for laboratory, radiology, supplies and medical procedures within records from Emergency Facilities, Inpatient, Observation and Ancillary services.

Basic Qualifications

High School Diploma or GED, required
CPC, CPC-H, CIC, COS or CCS, or other coding certification preferred, OR RHIA or RHIT certification with 3+ years experience required
3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required
Experience coding emergency or hospital ancillary services, preferred
Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
Proficiency using Microsoft Office Tools (Word, Excel, Outlook), required
Proficiency with patient accounting systems, preferred
Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred
Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
Knowledge of all HIPAA guidelines and regulations, required
ICD 10 Training/Education
Fluent in English; written and oral communication

Essential Job Functions

Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 codes including IV infusion and injection codes
Review documentation to apply HCPCS and facility level Evaluation & Management codes for billing
Abstract and code diagnoses and procedures from health records using appropriate classification systems

Other Job Functions

Attend staff or company meetings as required
Perform additional duties as assigned
Ability to work off hours and overtime

Medical Coding Specialist