Coding Specialist - Outpatient
New
S
Singing River Health SystemHealthcare coding
Remote MississippiFull-TimeJunior
Salary not disclosed
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Job Details
- Languages
- Fluent English grammar and usage.
- Experience
- One (1) year of healthcare-related work experience or coding experience directly applying codes preferred
- Required Skills
- HIPAA
Requirements
- High school diploma or equivalent.
- Completed coursework in medical terminology, anatomy, physiology, disease processes, and ICD-9/10-CM and/or CPT coding.
- Hold an AHIMA, AAPC, or NHA certification such as CPC, COC, or CCS-P, or an equivalent coding certification; certification may be completed within one year of employment.
- Complete continuing education and other requirements to maintain certification.
- One year of healthcare-related work experience or coding experience directly applying codes is preferred, or equivalent expertise, education, and training.
- Knowledge of ICD-10-CM and CPT/HCPCS coding guidelines, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
- Proficiency using a computer and office technology, including MS Outlook and Word.
- Ability to research and analyze data, interpret policies and regulations, and resolve issues using independent judgment.
- Ability to prepare queries and related documents and maintain working relationships with physicians and staff.
- Ability to maintain confidentiality and apply appropriate clinical judgment.
- Able to work assigned schedules, which may change to meet hospital needs, including changes to off days, shifts, or weekends.
- Able to travel to another facility within the SRHS service area.
Responsibilities
- Evaluate medical records and charges for completeness, accuracy, and compliance with ICD-10-CM, HCPCS, and CPT.
- Review records to identify diagnosis codes and CPT procedures for each patient encounter.
- Select the first-listed diagnosis, principal procedure, and other diagnoses and procedures using outpatient coding guidelines.
- Abstract appropriate information from medical records.
- Request clarification from physicians about ambiguous or conflicting documentation and query for medical necessity.
- Ensure coding follows ethical standards, guidelines, and regulatory requirements.
- Maintain confidentiality and follow HIPAA guidelines and regulations.
- Provide technical guidance and medical coding training to physicians and staff.
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