MEDICAL CODING SPECIALIST

ESSENTIAL DUTIES AND RESPONSIBILITIES Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection. Performs audits of provider coding and documentation to make recommendations for improvements and enhancements. Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise. Researches any coding inquiries the provider or medical staff may have, and presents findings to them. Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider. Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers. Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge. Works with billing partners in developing efficient coding processes and researching denials. Responds to customer concerns through coding reviews requested by other departments. Conducts provider coding orientation and education sessions and documents all information presented. Maintains an in-depth knowledge of Epic ambulatory and hospital modules. Works as a team to achieve productivity goals. EDUCATION AND/OR EXPERIENCE High School graduate or equivalent Two years of experience coding professional services in multiple specialties CERTIFICATION/LICENSURE Certified Professional Coder (CPC) or other equivalent coding certification required OTHER SKILLS AND ABILITIES Problem solving skills Excellent written/oral/interpersonal/communication skills Analytical skills LEVEL OF SUPERVISION N/A SUPERVISES N/A PAY RANGE: $24.12 - $36.18 Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status. Mercyhealth offers competitive pay and a comprehensive benefits package including: Medical, Dental, Vision Life & Disability Insurance FSA/HSA Options Generous, accruing paid time off Paid Parental and caregiver leave Career advancement and educational opportunities Tuition and certification reimbursement Certification Reimbursement Well-being Programs Employee Discounts On-Demand Pay Financial Education Annual recognition/awards events Partner appreciation days Family entertainment/attractions discount Community service/improvement opportunities Click here for more details regarding Mercyhealth Careers Benefit Information. At Mercyhealth, we don't simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin. Mercyhealth has been nationally recognized for our commitment to our people and culture, including: #1 in the nation on AARP's Best Employers for Workers Over 50 One of Working Mother magazine's 100 Best Companies for Working Mothers A Top 50 Company and Top 10 Nonprofit for Executive Women #J-18808-Ljbffr