AHIMA Certified Coding Specialist (CCS) - Health Information Management

AHIMA Certified Coding Specialist (CCS) - Health Information Management

Join a dynamic healthcare team in the Midwest region as a skilled Coding Specialist focused on Health Information Management. In this role, you will meticulously review clinical documentation and diagnostic results to extract data and assign accurate ICD-10 CM, ICD-10-PCS, and CPT/HCPCS codes for billing, reporting, research, and regulatory compliance. Your expertise will cover a variety of hospital coding areas including Ancillary, Emergency Department, Inpatient, Outpatient Surgery, Obstetrics, Infusion, and Long Term Care.

Key Responsibilities

• Adhere to the ethical coding standards established by the American Health Information Management Association (AHIMA) and follow official coding guidelines.
• Apply ICD-10 CM diagnosis and ICD-10-PCS procedure codes to accurately represent patient visit documentation, identifying relevant MS-DRG and APR-DRG classifications that impact reimbursement.
• Maintain effective communication and collaboration with physicians, clinical staff, and billing teams to ensure accurate coding and satisfactory reimbursement outcomes.
• Utilize coding software and resources to code inpatient services, including procedures and diagnoses, while abstracting required data elements such as present on admission (POS) and discharge status.
• Communicate coding issues and queries effectively with providers and Clinical Documentation Improvement Specialists to ensure documentation supports accurate coding and revenue capture.
• Serve as a resource for coding questions and billing edit resolutions, managing your coding workload independently while applying complex coding principles.
• Comply with HIPAA regulations to protect patient health information confidentiality.
• Maintain a coding accuracy rate of 95% or higher and meet productivity standards based on patient classifications.

Education and Experience

• Advanced knowledge of Anatomy and Physiology, Medical Terminology, Pharmacology, and ICD-10 CM/PCS coding.
• Proven ability to apply Complications and Co-Morbidity (CC) and Major Complication/Co-Morbidity (MCC) conditions.
• Understanding of POA requirements, DRG, MS-DRG, and APR-DRG systems, including severity of illness and risk of mortality.
• Successful completion of courses in Anatomy and Physiology, Medical Terminology, basic ICD-10-CM/PCS coding, and CPT coding.
• Minimum of 2 years experience in Health Information Management, medical office, or healthcare environment.

Preferred Qualifications

• ICD-10 education and training.
• Three years of hospital inpatient coding experience.

Licenses and Certifications

• Must obtain professional coding certification within one year of employment.
• Preferred certifications include CCS, CCS-P, CPC, CPC-H, RHIT, or RHIA.

Behavioral Skills

• Integrity: Demonstrates honesty and ethical behavior, inspiring others to uphold organizational values.
• Compassion: Exhibits empathy and excellent customer service, managing conflict with professionalism.
• Accountability: Takes ownership of projects and adapts flexibly to changing priorities.
• Respect: Collaborates effectively with diverse populations, maintaining a positive service orientation.
• Excellence: Strong communication and leadership skills, capable of guiding teams and facilitating process improvements.

This position offers a competitive salary and benefits package, providing a meaningful opportunity to contribute to quality healthcare delivery in a supportive environment.

MLee Healthcare Staffing and Recruiting, Inc