Pro Fee Coding Specialist II
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Job Description
Pro Fee Coding Specialist responsible for coding medical records following guidelines and regulations. Ensuring accuracy while supporting Clinical Documentation Improvement program in a fast-paced environment.
Responsibilities:
- Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines.
- Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
- Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
- Ensures optimal CPT, ASC, APC, APG assignment as applicable.
- Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
- Supports OP Clinical Documentation Improvement program.
- Maintains productivity and quality rate according to established standards.
- Works within UH Billing time frames.
- Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars.
- Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
- Maintains up to date credentials.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Requirements:
- High School Equivalent / GED (Required)
- Associate's Degree preferably in HIM (Preferred) or Bachelor's Degree (Preferred)
- 2+ years ICD-10 CM, PCS and/or CPT coding experience (Required)
- Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency)
- Detail-oriented and organized, with good analytic and problem solving ability. (Required proficiency)
- Self-motivated with ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
- Strong written and verbal communication skills. (Required proficiency)
- Must be able to proficiently work within with multiple systems. (Required proficiency)
- Certified Professional Coder (CPC) (Required Upon Hire) or Certified Coding Specialist (CCS) (Required Upon Hire) or Registered Health Information Technologist (RHIT) (Required Upon Hire) or Registered Health Information Administration (RHIA) (Required Upon Hire) or Certified Coding Associate (CCA) (Required Upon Hire) or Radiology Coding Certification (RCC) (Required Upon Hire) or Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)
Benefits:
- Complies with all policies and standards
- Participates in educational and informational activities as required
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