HIM CERTIFIED CODING SPECIALIST

JOB SUMMARY Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner, while strictly adhering to the AHIMA Code of Ethics. RESPONSIBILITIES Reviews chart thoroughly to ascertain all diagnoses and procedures. Professional communication with colleagues. Ensures coding aligns with documentation and proactively queries physicians for clarification. Uses coding/abstracting software and codes all diagnoses/procedures in accordance with ICD‑10‑CM/PCS, HCPCS, and CPT coding and payer guidelines, fully addressing CCI edits. Maintains 95% accuracy in principal and secondary diagnoses, procedures, and modifiers. Reviews coding periodicals within seven days of receipt and maintains CEU requirements. Verifies and corrects all coding errors and denials; reports back to the director when work is more than 48 hours behind deadline. Assists the director with state reporting requirements and ensures data quality and optimal reimbursement. Provides coding education to hospital staff and serves as a resource for coding changes and issues. QUALIFICATIONS High school graduate or equivalent. One or more years of previous experience as a medical coder. Knowledge of billing and coding in accordance with ICD‑10‑CM/PCS, HCPCS, and CPT coding principles for rural health clinics, critical access hospitals, and skilled nursing facilities. Ability to work collaboratively with physicians. Must hold a valid coding certification (CPC, CCA, CCS, CCS‑P, or equivalent). Five years of experience may be considered in lieu of certification. #J-18808-Ljbffr Miller County Hospital