Coding Specialist II – Profee General Pediatrics, Pediatric Hospitalist
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Job Description
Pro Fee coding specialist reviewing pediatric clinical records for Savista’s healthcare revenue-cycle services. Assigning ICD-10 and CPT/HCPCS codes and abstracting compliant billing data.
Responsibilities:
- Select and sequence ICD-10 and/or CPT/HCPCS codes for designated patient types, including ancillary, hospital, clinic, physician professional fee, technical fee, and evaluation and management
- Review and analyze facility records to ensure APC assignments and/or evaluation and management codes accurately reflect documented diagnoses and procedures
- Abstract clinical data after documentation review to support diagnoses, procedures, and discharge disposition
- Complete assigned work functions using appropriate resources
- Act as a resource for client staff regarding data integrity, clarification, and compliant coding practices, including provider queries
- Participate in client and Savista staff meetings, trainings, and conference calls
- Maintain current knowledge of coding guidelines, government regulations, protocols, and third-party coding/billing requirements
- Interact with client staff and providers as needed
Requirements:
- Successfully pass pre-employment skills assessment
- Active AHIMA credential including RHIA, RHIT, CCS, CCA, or active AAPC credential including COC, CCS-P, CPC, or related specialty credential
- Two years of recent and relevant hands-on coding experience
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, ICD-10, and CPT/HCPCS code sets
- Ability to consistently code at 95% quality threshold while maintaining client-specific and/or Savista production and/or quality standards
- Proficient computer knowledge, including MS Office, Outlook, Word, and Excel; ability to enter data, sort, and filter Excel files
- Excellent interpersonal and problem-solving skills with internal and external customers
- Recent and relevant experience in an active production coding environment strongly preferred
- Associate degree in HIM or healthcare-related field, or combination of equivalent education and experience preferred
- Experience using Rcx, Cerner, or NextGen is a plus
- Maintain patient and provider confidentiality in compliance with HIPAA guidelines
Benefits:
- Continuing education activities to enhance knowledge, skills, and maintain current credentials
- Equal Opportunity Employer protections
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