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Position Summary
• Reviews provider documentation and revises and/or assigns ICD-10-CM codes
and CPT/HCPCS codes as appropriate, based on official coding guidelines.
Researches and takes appropriate action on any coding/claim edits.
• Coding focus is provider based E&M level visits or outpatient hospital based
ancillary visits
Principal Accountabilities
• Standards of Performance: Respect, Integrity, Compassion, Collaboration,
Stewardship, Accountability, Quality
Education
• High School Diploma required. Preferred Associate or Bachelor Degree in
Health Information or a healthcare related discipline.
Licenses and Certification
• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.
Experience and Skills
• Technical Experience:
o Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working
hours).
Role Specific Responsibilities
1. Follows all coding policies, procedures, standard operating procedures
2. Effectively uses encoding software and reference materials to assign appropriate
codes.
3. Provider driven coding: Reviews and accepts or revises code selection based
upon documentation and coding guidelines.
4. Non – provider driven coding: Reviews provider documentation and assigns
appropriate codes based upon coding guidelines
5. Reviews coding edits and accurately resolves so encounter can be sent to claims.
6. Sends clear, respectful communications to provider in basket or queries when
additional information is needed before finalizing coding.
7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues
related to documentation, coding or systems that may impact quality, compliance,
or productivity
8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager.
9. Maintains coding quality and productivity standards
10. Actively engages and makes meaningful contribution when participating in
performance improvement initiatives, department meetings and other meetings as
required.
11. Maintains required CEU’s
Compensation (Commensurate with experience):
$22.74To
$35.25To access our Benefits Guide/Plan Information, please click the link below:
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Southern Illinois Medical Services NFP is a healthcare provider.