Performs coding quality reviews in collaboration with or for internal customers of the organization.
Provides feedback as appropriate depending on findings.
Abstracts and validates required data elements into the coding and abstracting system.
Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
Completes production coding when needed and assigned by one over.
Key Success Factors
Exceptional knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
Exceptional knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
Exceptional knowledge of anatomy, physiology, and medical terminology.
Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
Exceptional knowledge of ICD-10-CM/PCS coding and/or CPT procedural coding.
Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
Exceptional interpersonal verbal and written communication skills.
Skill in the use of computers.
Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of these registrations or certifications and 5 years of coding experience. At least 1 year should be as a coding auditor.
Registered Health Information Administrator (RHIA)
Registered Health Information Technologist (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Specialist Physician-based (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Certified Interventional Radiology Cardiovascular Coder (CIRCC)
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
EDUCATION - H.S. Diploma/GED Equivalent
EXPERIENCE - 5 Years of Experience
CERTIFICATION/LICENSE/REGISTRATION -
Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of these certifications and 5 years of coding experience. At least 1 year should be as a coding auditor.
