The Coding Specialist is responsible for assigning accurate ICD, HCPCS/CPT, and E&M codes for outpatient and inpatient encounters while maintaining high accuracy and productivity standards. They also abstract clinical data, validate charges, and collaborate with providers to clarify coding issues.
JOB DETAILS
Department: Hospital Billing OP Coding
FTE: 1.00 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: Remote
*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.
Purpose of this position: Under general supervision, performs all functions associated with the appropriate assignment of ICD, HCPCS/CPT, and E&M codes for outpatient and/or inpatient encounters
RESPONSIBILITIES
- Assigns the appropriate ICD, HCPCS/CPT, and E&M codes, as applicable, to diagnoses and procedures generated for outpatient or inpatient encounters, maintaining a 95%25 accuracy rate in conjunction with meeting productivity standards
- Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement purposes in relation to assigned areas of work by use of a computerized encoding system
- Validates charges on accounts/charge sessions
- Effectively interacts with providers and ancillary staff for clarification of coding issues
- Maintains statistics, records, and logs in relation to assigned work area
- Assists with the training and in-services of students and new employees in specific areas of assignment as directed by management
- Keeps educated about current coding updates per management’s direction – including ICD-10-CM, HCPCS/CPT, and E&M code guidelines and methodologies, as well as payor requirement changes as applicable
- Keeps management informed of coding problems/issues
- Represents coding on teams, committees, and task forces as assigned by management
- Actively participates in other duties as assigned, but only after appropriate training
QUALIFICATIONS:
Minimum Qualifications:
- Must have completed an American Health Information Management Association (AHIMA) approved program for Certified Coding Specialist, -OR- Health Information Technician (2 year degree), -OR- Health Information Administrator (4 year degree)
-PLUS-
- One year of coding experience is preferred
- Certification Required: Certified Professional Coder (CPC) by an AAPC recognized program, -OR- Certified Coding Specialist-Professional (CCS-P), Registered Health Information Technician (RHIT), -OR- Registered Health Information Administrator (RHIA) by an AHIMA recognized program
-OR-
- An approved equivalent combination of education and experience
Knowledge/ Skills/ Abilities:
- Ability to communicate effectively both orally and in writing
- Ability to work independently with minimal direction