Hospital Medicine Coding Specialist
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Job Description
Hospital Medicine Coding Specialist responsible for remotely reviewing medical records and coding encounters. Requires RHIT and/or CPC with at least one year of experience and knowledge of coding guidelines.
Responsibilities:
- Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines.
- Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation.
- Perform MIPS review as needed.
- Perform Provider QA as needed.
- Document coding errors.
- Assist coding management.
- Assist with client/provider audits as needed.
- Assist with reviewing work product of new coders in training, as needed.
- Provides feedback to coders on coding discrepancies/deficiencies, as needed.
- Maintains confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy.
Requirements:
- High School diploma or equivalent
- RHIT and/or CPC required
- At least one (1) year of medical billing preferred
- 2023 MDM Guidelines required
- Understand the use and function of modifiers in CPT
- In-depth knowledge of CPT/ICD-10 coding system
- Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to remain flexible and work within collaborative and fast paced environment
- Strong time management and organizational skills
- Basic knowledge of Outlook, Word, and Excel
Benefits:
- PF
- Gratuity
- ESI or Group Insurance
- Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression
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