Full-time, 40 hours/week
Monday-Friday 8am-4:30pm
Remote (prefer candidates that reside in OH or PA)
Summary:
The Health Information Management Coding Specialist performs coding function through review and analysis of electronic, paper, or hybrid patient medical records and assigning diagnosis and procedure codes.
Responsibilities:
- Performs coding function through review and analysis of electronic, paper, or hybrid patient medical records and assigning diagnosis and procedure codes through ICD-9-CM, ICD-10-CM, ICD-10-PCS as of 1-1-2014, and CPT-4 coding and classification systems.
- Queries physicians when additional documentation is needed for coding specificity.
- Works with DRGs and APR-DRGs.
- Abstracts clinical data from these same patient records and performs data entry into clinical/statistical database.
- Processes and maintains accurate hospital statistics.
- Reviews EPIC work queues daily for coding edits and makes necessary and appropriate coding changes based on medical documentation.
- Conducts reviews for appeals from payor denials.
- Processes infusion and injection coding on observation and treatment patients.
- Works as a collaborative team member with Revenue Cycle Department, Quality Service Department and Finance Department to ensure optimization of reimbursement.
- Assists with research projects by working with physicians and other requestors and querying pertinent databases or indices for reportable statistics such as diagnoses, procedures, and/or physicians.
- Other duties as required.
Other information:
Technical Expertise
- Experience in health information management is preferred.
- Experience in ICD-9-CM, ICD-10-CM, ICD-10-PCS as of 1-1-2014, and CPT-4 coding and classification systems is preferred.
- Experience working with all levels within an organization is preferred.
- Experience in healthcare is preferred.
- Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
- Education: Associate’s degree in Health Information or related field is required; Bachelor’s degree is preferred.
- Certification: AAPC or AHIMA certification is required.
- Years of relevant experience: Minimum of 3 years is preferred.
- Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote