Coding Specialist

Responsible for assisting with oversight of the coding department, auditing to ensure quality and compliance, denial management, and production of coding/charge capture. Serves as the point of contact for all coding‑related questions. Assists the department director with maintaining productivity standards of the coding department, including running and monitoring reports such as Hold Report and DNFB Report to ensure coding turnaround time goals are consistently met. Works closely with coding staff to ensure timely completion of all coding‑related duties, including assignment of CPT, ICD‑9 CM, ICD‑10 CM, and HCPCS level II codes, proper charge capture, and follow up on any areas holding up coding completion. Member of the Denial Management Task Force and serves as point of contact for denial questions from Billing Specialists and PFS Clerks. Assists the department director with development implementation, performance of coding compliance audits, and identifying educational needs for coding staff, billing staff, and providers. Responsible for assigning appropriate ICD‑9 CM and ICD‑10 CM diagnoses, and CPT‑4 codes for services provided in inpatient and outpatient hospital settings; evaluates provider and nursing documentation to ensure adequacy to support charges and for proper code assignment. Data entry of all charges not auto‑generated by EHR, evaluation and correction of auto‑generated charges to ensure support by appropriate documentation; knowledge of billing and coding edits, LCD, and NCD guidelines to ensure compliance and education of affected departments. Required to participate in mandatory training on EHR and UKG (Time and Attendance) and demonstrate basic competency in applicable functions, attendance required at Joint Manager monthly meetings and quarterly leadership training. Works under the direct supervision of the Revenue Cycle Director, closely with all clinic and hospital staff. Position requires access to highly confidential information and may perform other duties as assigned. Requirements High School Diploma or equivalent with computer skills required. Coding certification required with a minimum of 5 years of healthcare industry experience in coding. Completion of medical terminology, anatomy and physiology courses required. Must be capable of handling multiple tasks quickly, calmly, and professionally. Excellent organizational, communication, and customer service skills necessary. Must be able to speak and write articulately. #J-18808-Ljbffr Syringa Hospital & Clinics