Coding Specialist

The Coding Specialist works as part of the billing team to abstract data from the patient charts based on clinical documentation. Essential Duties and Responsibilities Reviews patients’ medical records and assigns diagnoses and procedure codes according to the principles of ICD-10-CM, CPT, and HCPCS guidelines. Ensures compliance with federal and state regulations. Assigns and sequences all codes for services rendered. Abstracts pertinent data from the medical record. Possesses a working knowledge of applicable payer methodologies. Able to determine if medical necessity was met within the patient record according to clinical documentation. Ensures all codes used are current and active. Reports missing or incomplete documentation to the provider. Performs regular chart audits and coding reviews to ensure clinical documentation is accurate and precise. Provides training to providers and nursing staff as appropriate. Works with departments to optimize workflow for locking of notes. Ensures confidential information gained through job performance is kept confidential. Must demonstrate good internal and external customer service skills. Physical attendance is an essential element of the job and necessary to perform the essential functions of this position.4 Performs other duties as assigned. Other Functions Staff will abide by the Code of Conduct as documented in the Corporate Compliance Manual. Must demonstrate a personal and professional commitment to Johnson Health Center (JHC) and its mission. Treats all patients and staff with dignity and respect, mindful of the cultural differences of the diverse population we serve. Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require. Qualifications High School diploma or equivalent. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred or must be willing to obtain certification within six months of hire. Two to five years’ previous coding experience required. Must be self‑motivated with well‑developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions. Must possess strong communication skills; works well with external organizations and employees. Physical Demand and Working Environment Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up to 15 pounds occasionally, with frequently moving of objects. Work requires speaking, sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain activities. 8-10 hours of constant computer usage. OSHA low-risk position. #J-18808-Ljbffr