Coding Specialist I

UnityPoint Health St. Lukes

Requisition ID
2021-94021
Category
HIM and Coding
Location
US-IA-Cedar Rapids
Address
800 First Ave NE
Affiliate
9010 Administration
City
Cedar Rapids
Department
Coding- Professional Billing
State
IA
FTE
1.0
FLSA
Non-Exempt
Scheduled Hours/Shift
Days; Monday-Friday
Work Type (Portal Searching)
Full Time Benefits

Overview

Coding Specialist I review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations. 

Responsibilities

Coding and Department Support 

  • Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. 
  • Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.  
  • Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. 
  • Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. 
  • Monitor environmental conditions in order to secure protected health information. 
  • Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site. 
  • Attend clinic/provider meetings as necessary per the Coding Supervisor and/or the Operations Coding Manager. 
  • Collection and/or analysis of coding-related data for training purposes or presentation as needed.   
  • Maintain compliance with PersonnelCorporate Compliance and HIPAA policies and procedures. 
  • Maintain regular and consistent attendance at work. 
  • Maintain compliance with Personnel policies and procedures. 
  • Behave in a manner consistent with all Compliance and HIPAA policies and procedures. 
  • Monitor environmental conditions in order to secure protected health information. 
  • Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.  
  • Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests. 
  • Perform other duties as requested to facilitate the smooth and effective operations of the organization.  
  • Consistently research and resolve coding related denials per payor regulations. 
  • Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.  
  • Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. 
  • Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers. 

Qualifications

Education:

  • High-School diploma/GED.

Experience:

  • Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT) and HCPCS codes required
  • Two (2) years of coding, charge entry and/or medical office experience preferred
  • Computer data entry experience preferred

License(s)/Certification(s):

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) current certification status required within one year of hire

Knowledge/Skills/Abilities:

  • Knowledge of medical terminology, anatomy, and physiology
  • Strong interpersonal and communication skills
  • Ability to work as a team member
  • Knowledge of medical billing and third party reimbursement policies preferred.
  • Strong computer skills
  • Strong verbal and written communication skills
  • Ability to understand government and non-governmental policies and procedures and apply guidelines preferred

Job ID: 75866

Posted 10 days ago

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