Coding Specialist

• Location 607 W MAIN ST,Grangeville, , ,United States
• Employee Type FT
• Required Degree NONE
• Manage Others No

• Name Human Resources
• Phone

Responsible for assisting with oversight of the coding department, auditing to ensure quality and compliance, denial management, and production of coding/charge capture.

• Point of contact person for all coding related questions.
• Assists the department director with maintaining productivity standards of the coding department.
• Run and monitor reports, including Hold Report, DNFB Report, etc. to ensure coding turn-around time goals are consistently met.
• Works closely with coding staff to ensure timely completion of all coding related duties such as assignment of CPT, ICD-9 CM, and HCPCS level II codes, complete and proper charge capture, and follow up for any areas holding up the completion of coding related duties.
• Member of the Denial Management Task Force and is point of contact for denial questions from the Billing Specialists and PFS Clerks.
• Assists the department director with development implementation, and performance of coding compliance audits.
• Assists the department director in identifying educational needs for coding staff, billing staff, and providers.
• Responsible for assigning appropriate ICD-9 CM and ICD-10CM diagnoses, and CPT-4 codes for services provided in the inpatient an outpatient hospital setting.
• Evaluates provider and nursing documentation to ensure adequacy to support charges and for proper code assignment.
• Data entry of all charges not autogenerated by EHR.
• Evaluation, with corrections as needed, of all autogenerated charges to ensure these are supported by appropriate documentation.
• Knowledge of, application of, and/or compliance with all billing and coding edits.
• Knowledge of LCD and NCD guidelines to ensure compliance with these and to provide education to departments that are affected by them.
• Required to participate in mandatory training on EHR and UKG (time & attendance) and demonstrate basic competency in functions applicable to the role.
• Attendance required at Joint Manager monthly meetings and quarterly leadership training.
• Works under the direct supervision of the Revenue Cycle Director.
• Works closely with all clinic and hospital staff members.
• Position requires access to highly confidential information.
• Performs other duties as assigned.

• High school diploma or equivalent with computer skills required.
• Coding certification required and a minimum of 5 years’ healthcare industry experience in coding.
• Knowledge of billing preferred.
• Completion of medical terminology, anatomy and physiology courses required.
• Must be capable of handling multiple tasks quickly, calmly and professionally.
• Excellent organizational, communication and customer service skills necessary.
• Must be able to speak and write articulately.