Coding Specialist II

Possesses the knowledge and skills to thoroughly review the clinical content of outpatient, therapy/recurring series, specialty clinic, emergency department/emergency charge capture, outpatient surgery, observation and simple inpatient medical records and assign appropriate ICD-10-CM codes to diagnosis and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement.

1. *Studies and analyzes the clinical content of a medical record.
2. *Assigns and sequences diagnosis and procedure codes appropriately to arrive at the correct DRG or APC assignment.
3. *Enters coding information into the computer system for reimbursement purposes for submitting patient's claims.
4. *Maintains a thorough and updated knowledge of Clinical Coding Guidelines, Fiscal Intermediary directives, Coding Compliance standards and Local Medical Review Policies.
5. *Instructs other hospital staff on appropriate medical necessity needed for coding accurately.
6. Assists with peer review auditing activities for accuracy and compliance.
7. *Maintains strict confidentiality regarding patient information.
8. *Works as a team member to ensure that all coding types meet or exceed the established quality standard coding accuracy while meeting or exceeding productivity standards set forth by the department leadership.
9. Abides by the Code of Ethics and the Standards of Ethical Coding as set forth by the American Health Information Association (AHIMA) and adheres to Official Coding Guidelines.
10. Adheres to relevant policies, procedures, regulations and expectations of Bryan Health.
11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
12. Participates in meetings, committees and department projects as assigned.
13. Performs other related projects and duties as assigned.

EDUCATION AND EXPERIENCE:

High school diploma or equivalency required. Coursework in ICD-10-CM and CPT Coding procedures required. Minimum of one (1) year facility coding experience in a medical environment required.

OTHER CREDENTIALS / CERTIFICATIONS:

Certification as a Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder (CPC), Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) required.