Certified Coding Specialist I

Shift: Monday – Friday, Remote role.

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Position Summary:

As a Certified Coding Specialist, you will analyze medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. You will also interact with physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Identifies and reports documentation issues and may participate in team education activities.

Responsibilities:

* Abstracts relevant clinical and demographic information from the medical record to assign current ICD10 and CPT codes in accordance with coding and reimbursement guidelines
* Identifies principal and secondary ICD10 diagnosis codes with minimal error based on national based standards
* Codes with an accuracy of 97% based on QA internal reviews
* Records all diagnostic procedures and assigns appropriate procedure codes
* Requests diagnosis from physicians when information is not recorded
* Determines and records required medical information
* Maintains the confidentiality of medical information contained in each record and protects data by following HIPAA compliant regulations

Experience, Education and Qualifications:

* AAPC or AHIMA Certification required
* Minimum experience for this position should have at least 1-year of medical coding experience
* Thorough knowledge of ICD10 diagnosis coding and official coding guidelines
* Thorough knowledge of CPT coding, NCCI and modifier usage
* Thorough knowledge of CMS LCD/NCD and payer medical policies
* Thorough knowledge of anatomy and physiology in addition to medical terminology and disease process