The Corporate Coding Specialist performs coding and abstracting for all Chapters Health System service lines. This role analyzes and interprets medical record documentation and abstracts data elements into the electronic medical record using ICD-10-CM and CPT-4 coding systems.
Job Responsibilities
- Analyze and interpret information in the medical record and assign correct diagnosis and procedure codes using ICD-10-CM and CPT-4.
- Abstract necessary information from medical records to identify diagnoses, complications, and co-existing conditions.
- Review medical staff documentation and assign appropriate procedure codes, including evaluation and management services.
- Review clinical documentation to ensure valid ICD-10-CM codes are assigned.
- Use the physician query process when documentation is unclear, incomplete, ambiguous, or not straightforward.
- Maintain a 95% coding accuracy rate.
- Communicate with medical staff to clarify documentation for accurate code assignment.
- Ensure diagnoses and CPT codes accurately reflect and support the visit and comply with regulatory standards and guidelines.
- Follow AHIMA and AAPC ethical coding standards and official coding guidelines.
- Maintain current coding knowledge and continuing education requirements.
- Complete assignments within time constraints and scheduled deadlines.
Requirements & Qualifications
Qualifications
- High school diploma or GED, or equivalent combination of education and work experience.
- Minimum of 3 years of acute care, home health, physician, or ancillary coding experience.
- Completion of a credentialed coding certificate program.
- One or more of the following credentials: CCS, CCS-P, CPC, or HCS-D.
- Knowledge of ICD-10-CM and CPT coding, including the Official Guidelines for Coding and Reporting and Evaluation and Management Documentation Guidelines.
- Knowledge of medical terminology, anatomy and physiology, pathophysiology, AHA Coding Clinic, AMA CPT Assistant, and Coding Clinic for HCPCS.
- Understanding of clinical documentation improvement and its relationship to coding accuracy.
- Familiarity with encoder technology, computer-assisted coding, abstracting systems, and EMR platforms.
- Strong organizational skills and attention to detail.
- Ability to communicate professionally and effectively.
- Strong computer skills.
- Ability to work collaboratively in a team environment.
- Commitment to productivity and coding accuracy goals.
Additional Notes
- Must satisfactorily complete competency requirements for the position.
- Drug and/or alcohol testing may be required after a conditional offer of employment.
- Florida affiliates require background screening clearance and ongoing eligibility verification.
Benefits & Perks
Benefits and Perks
- Competitive salary.
- Health insurance.
- Dental insurance.
- Vision plan.
- Flexible spending account.
- Retirement plan.
- Life insurance and accidental death or dismemberment coverage.
- Long-term disability.
- Short-term disability.
- Voluntary life insurance.
- Voluntary personal accident insurance.
- Tuition reimbursement.
- Pre-paid legal plan.
- Paid time off.
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 weeks ago