The Certified Coding Specialist I reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures. This role assigns ICD-10-CM and CPT-4 codes accurately and timely to the highest level of specificity based on physician documentation for ambulatory surgery, special procedures, observation, emergency department, outpatient ancillary, and clinic visit records.
The position primarily codes a mix of Evaluation & Management medical records and also assists with coding outpatient ancillary clinic, specialty clinic, surgical, and emergency room records as needed. The coder communicates with physicians and other providers regarding documentation requirements and collaborates with different departments on an as-needed basis. The role also requires maintaining current knowledge of coding and documentation changes, rules, and guidelines.
Education and Experience
- High school diploma
- CCS or CPC required
- RHIA or RHIT preferred
- 1 year of current and continuous full-time ICD-10-CM and CPT-4 Evaluation & Management coding experience
Knowledge and Skills
- Knowledge of medical terminology, anatomy and physiology, and the disease process
- Knowledge of health insurance processing
- Ability to work independently and productively with minimal guidance and supervision
- Detail-oriented, organized, and flexible
- Strong interpersonal and communication skills
- Demonstrated coding and critical thinking skills using current policies and procedures
- Skilled with electronic medical record applications, automated encoders, and other software applications
Location
Texas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 month ago