Coding Specialist II

Parkland Health and Hospital SystemHealthcare coding

Virtual/Remote ONLY for living in the following states: TX, FL, AR, WIFull-TimeMiddle

Salary not disclosed

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Job Details

Experience: Must have two (2) years of coding experience in an acute care setting or diverse clinical specialties.
Required Skills: MS Office

Have a high school diploma.
Have successfully completed an approved coding program or graduated from a health information management program.
Have two years of coding experience in an acute care setting or diverse clinical specialties.
Hold an accepted AHIMA credential: RHIT, RHIA, CCS, CCS-P, or CCA; or an accepted AAPC credential: CPC, CPC-H, or COC.
Demonstrate advanced coding and charge review skills, including knowledge of modifiers and coding, charging, and billing rules.
Have advanced knowledge of ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC, HEDIS CAT II, E/M coding and abstracting, APC classification and reimbursement structures, and applicable coding edits.
Know medical terminology, the human disease process, anatomy, and physiology.
Demonstrate proficiency in coding and encoder skills.
Know computer software applications, including MS Office and Computer Assisted Coding (CAC).
Score at least 80% on a pre-employment inpatient/outpatient coding test; contract coders with proven 95% coding accuracy at Parkland Health and Hospital System are exempt.
Physician office coding, charging, and billing experience is preferred.
Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred.

Code, abstract, and conduct charge quality reviews for emergency department, same day surgery, outpatient clinic, observation, inpatient OB/newborn, and specialty clinic encounters.
Analyze questionable documentation and resolve identified coding and information issues.
Assign diagnosis and procedure codes using ICD-10-CM/PCS, CPT, HCPCS, HCC, HEDIS CAT II, and E/M codes for professional and hospital billing.
Assist with training and review the work of other coders for accuracy and efficiency, as needed.
Maintain 95% accuracy on quality reviews and meet assigned productivity standards.
Verify, edit, or enter charges based on documentation or payer and billing requirements, and report discrepancies.
Update patient databases with classification codes and resolve conflicts or inconsistencies.
Maintain knowledge of applicable coding rules, regulations, policies, laws, and guidelines.
Maintain continuing education hours and renew coding credentials.

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