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.