Coding Specialist (remote position)
Chapters Health System, Florida, NY, United States
Role
The Corporate Coding Specialist performs coding and abstracting for all Chapters Health System (CHS) service lines. The Coding Specialist analyzes and interprets the documentation in the medical record and abstracts the data elements into the electronic medical record utilizing ICD-10-CM and CPT-4 coding systems.
Qualifications
High School diploma or GED or an equivalent combination of work experience and education
Minimum of three (3) years of acute care, home health, physician or ancillary coding experience
Successful completion of a credentialed coding certificate program and has received one or more of the following credentials: CCS, CCS-P, CPC, or HCS-D
Knowledge of ICD-10-CM and CPT with a familiarity of the Official Guidelines for Coding and Reporting and the Evaluation and Management Documentation Guidelines
Knowledge of: medical terminology, anatomy and physiology, pathophysiology, AHA Coding Clinic, AMA CPT Assistant, and Coding Clinic for HCPCS
Knowledge of clinical documentation improvement and its importance as it relates to coding accuracy
Familiarity with encoder technology including Computer Assisted Coding, and abstracting system along with electronic medical record (EMR)
Excellent organizational skills with attention to detail
Ability to communicate professionally and effectively
Extensive knowledge of computer technology in order to efficiently complete daily work responsibilities
Ability to work with a team
Demonstrate a willingness to ensure the productivity and coding accuracy rate is met
Competencies
Must satisfactorily complete competency requirements for this position.
Responsibilities Of All Employees
Represent the Company professionally at all times through care delivered and/or services provided to all clients
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse
Comply with Company policies, procedures and standard practices
Observe the Company's health, safety and security practices
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
Use resources in a fiscally responsible manner
Promote the Company through participation in community and professional organizations
Participate proactively in improving performance at the organizational, departmental and individual levels
Improve own professional knowledge and skill level
Advance electronic media skills
Support Company research and educational activities
Share expertise with co-workers both formally and informally
Participate in Quality Assessment Performance Improvement activities as appropriate for the position
Job Responsibilities
Analyzes and interprets information in the medical record and assigns the correct code(s) utilizing ICD-10-CM and or CPT-4 classification system to the diagnoses/procedures of medical records according to the coding guidelines.
Abstracts all necessary information from medical records to identify the diagnosis and any related complications and co-existing conditions.
Reviews medical staff documentation and assigns appropriate procedure codes including evaluation and management services.
Reviews clinical documentation to ensure valid ICD-10-CM codes are assigned.
Implements CHS physician query process when code assignments are not straight forward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
Maintains a 95% coding accuracy rate as set by organization.
Communicates with medical staff as needed to clarify documentation for appropriate code assignment.
Evaluates medical record documentation in order to ensure the appropriate diagnoses and CPT codes are assigned to accurately reflect and support the visit, and to ensure that the information complies with regulatory standards and guidelines.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) adhering to the official coding guidelines.
Maintains knowledge of current coding guidelines and obtains continuing education units to maintain coding credentials.
Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule.
Performs other duties as assigned.
Compensation Pay Range $24.30 - $36.16
Additional Requirements This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.
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Qualifications
High School diploma or GED or an equivalent combination of work experience and education
Minimum of three (3) years of acute care, home health, physician or ancillary coding experience
Successful completion of a credentialed coding certificate program and has received one or more of the following credentials: CCS, CCS-P, CPC, or HCS-D
Knowledge of ICD-10-CM and CPT with a familiarity of the Official Guidelines for Coding and Reporting and the Evaluation and Management Documentation Guidelines
Knowledge of: medical terminology, anatomy and physiology, pathophysiology, AHA Coding Clinic, AMA CPT Assistant, and Coding Clinic for HCPCS
Knowledge of clinical documentation improvement and its importance as it relates to coding accuracy
Familiarity with encoder technology including Computer Assisted Coding, and abstracting system along with electronic medical record (EMR)
Excellent organizational skills with attention to detail
Ability to communicate professionally and effectively
Extensive knowledge of computer technology in order to efficiently complete daily work responsibilities
Ability to work with a team
Demonstrate a willingness to ensure the productivity and coding accuracy rate is met
Competencies
Must satisfactorily complete competency requirements for this position.
Responsibilities Of All Employees
Represent the Company professionally at all times through care delivered and/or services provided to all clients
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse
Comply with Company policies, procedures and standard practices
Observe the Company's health, safety and security practices
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
Use resources in a fiscally responsible manner
Promote the Company through participation in community and professional organizations
Participate proactively in improving performance at the organizational, departmental and individual levels
Improve own professional knowledge and skill level
Advance electronic media skills
Support Company research and educational activities
Share expertise with co-workers both formally and informally
Participate in Quality Assessment Performance Improvement activities as appropriate for the position
Job Responsibilities
Analyzes and interprets information in the medical record and assigns the correct code(s) utilizing ICD-10-CM and or CPT-4 classification system to the diagnoses/procedures of medical records according to the coding guidelines.
Abstracts all necessary information from medical records to identify the diagnosis and any related complications and co-existing conditions.
Reviews medical staff documentation and assigns appropriate procedure codes including evaluation and management services.
Reviews clinical documentation to ensure valid ICD-10-CM codes are assigned.
Implements CHS physician query process when code assignments are not straight forward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
Maintains a 95% coding accuracy rate as set by organization.
Communicates with medical staff as needed to clarify documentation for appropriate code assignment.
Evaluates medical record documentation in order to ensure the appropriate diagnoses and CPT codes are assigned to accurately reflect and support the visit, and to ensure that the information complies with regulatory standards and guidelines.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) adhering to the official coding guidelines.
Maintains knowledge of current coding guidelines and obtains continuing education units to maintain coding credentials.
Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule.
Performs other duties as assigned.
Compensation Pay Range $24.30 - $36.16
Additional Requirements This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.
#J-18808-Ljbffr