Coding Specialist I
US-IA-Dubuque
careers
Req #: 163755
Type: Full Time Benefits
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Overview: Coding Specialist I Dubuque, IA Monday-Friday 8:00AM-5:00PM Full Time Benefits Coding Specialist I review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations. Responsibilities: Coding and Department Support * Assigns procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. * Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. * Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. * Attend clinic/provider meetings as necessary per the Coding Supervisor and/or the Operations Coding Manager. * Maintain quality scores at or above 95%. * Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers * Review and analyze medical billing and coding for clinic claims. * Review and accurately verify coding for services and reimbursement in compliance with CPT and ICD guidelines as well as using appropriate modifiers and HCPC codes. * Ensure that all codes are current and active. * Report missing or incomplete documentation. * Assist with insurance and coding questions, conduct research as needed. * Communicate effectively and directly with clinical staff Qualifications: Education High-School diploma/GED. Completion of nationally recognized coding program (AHIMA/AAPC) Experience Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT) and HCPCS codes required License(s)/Certification(s) Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) current certification status required within one year of hire Knowledge/Skills/Abilities * Knowledge of medical terminology, anatomy, and physiology * Strong interpersonal and communication skills * Ability to work as a team member * Knowledge of medical billing and third party reimbursement policies preferred. * Strong computer skills * Strong verbal and written communication skills
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