Coding Review Specialist - HIM- Days - FT

Coding Review SpecialistThe Coding Review Specialist is responsible for daily auditing, monitoring, and follow-up to ensure coding compliance. The Specialist assigns appropriate codes to patient diagnosis and procedures and provides support to the coding staff. The Specialist monitors and documents coding trends.ResponsibilitiesPerforming coding compliance review Audits clinical documentation and coded data to validate documentation services rendered for reimbursement and reporting purposesIdentifies discrepancies and billing issues; recommends a plan of action to correct discrepancies and prevent future coding errorsAssures that accounts are grouped to the appropriate classification utilizing ICD diagnosis and procedure codesReviews accounts assigned to work queue to determine if a clinical association exists for possible combined billing referencing various rules and regulationsMonitors and reports the outstanding account reviews to facilitate account billingEnsures compliance with established guidelines and regulatory requirementsServing as a resource and subject matter expert to coding staff and interdisciplinary teams Assists in coordinating external third party annual coding auditsWorks with medical and business office staff to resolve coding issues and associated problemsServes as a liaison to Revenue Cycle to provide effective communication of concerns between Patient Financial Services and Coding ManagementAssigns ICD and CPT codes to patient diagnoses and procedures Ensures assignment of codes are consistent with coding guidelines and regulationsAssigns Ambulatory Payment Classification (APC) promptly and accuratelyGroups patient diagnostic information according to regulations utilizing ICD diagnosis and procedure codesEnters coded and abstracted data into the hospital information systemQualificationsEducation:High School or GEDExperience:4 years as a medical coder for an acute care facilitySkills:Analyzing and organizing technical dataMultitasking, time-management, and organizationVerbal and written communicationJob InfoJob Identification 27932Job Category Clerical & Admin SupportPosting Date 04/20/2026, 12:44 PMJob Schedule Full timeJob Shift DayLocations MASS 1520 Broad Avenue