The HIM Coding Specialist is responsible for accurately coding diagnoses and procedures using ICD-9/10-CM and CPT coding systems. The role assigns codes in proper sequence to support the appropriate DRG and reviews medical records to ensure documentation supports assigned codes.
This position works within Health Information Management and supports inpatient, outpatient, emergency department, same day services, and other records as assigned. The specialist also reviews edits, adds modifiers when needed to support clean claims, participates in coding audits, and assists with Home Health coding when needed.
Completion of required coursework and/or degree for accreditation or registration with AHIMA.
Required credentials: RHIT, RHIA, CCS, or CCA.
HIM or HIT graduate preferred if accreditation is completed within 6 months of employment.
Membership in the Clinical Coding Society, a division of AHIMA, is preferred.
Must be able to:
- Use medical record abstract, medical record control, medical record index, and DRG/Case Mix applications in Affinity
- Use 3M Encoder
- Use ChartMaxx imaging system
- Review medical records for sufficient documentation
- Identify deficiencies and inconsistencies in the record
- Obtain missing medical necessity documentation when needed
- Reorganize work to handle changes in volume and staffing
- Participate in coding audits and continuing education
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago