Position Summary
- Reviews provider documentation and assigns or revises ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines.
- Researches and takes appropriate action on coding and claim edits.
- Coding focus includes provider-based E&M level visits and outpatient hospital-based ancillary visits.
Responsibilities
- Follows coding policies, procedures, and standard operating procedures.
- Uses encoding software and reference materials to assign appropriate codes.
- Reviews provider documentation and accepts or revises code selection based on coding guidelines.
- Reviews coding edits and resolves issues so encounters can be sent to claims.
- Communicates clearly and respectfully with providers when additional information is needed before finalizing coding.
- Escalates documentation, coding, or system issues to the Coding Lead, Supervisor, or Manager.
- Completes work queue assignments as directed.
- Maintains coding quality and productivity standards.
- Participates in performance improvement initiatives and department meetings.
- Maintains required continuing education units.
Requirements & Qualifications
Education
- High school diploma required.
- Associate or bachelor's degree in Health Information or a healthcare-related discipline preferred.
Licenses and Certifications
- RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.
Experience
- For CCS-P, CCA, or CPC: 1 year of technical experience required, or 2,000 continuous working hours.
Additional Qualifications
- Ability to effectively use coding software and reference materials.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
- Ability to maintain quality, productivity, and compliance standards.
Benefits & Perks
Benefits information is available in the company's Benefits Guide/Plan Information.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago
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