Coding Specialist​/Remote

General Summary

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision making related to patient care.

The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement policies, and regulation and accreditation guidelines.

• High school diploma or G.E.D.equivalent required.
• Billing or coding experience preferred. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
• Prior experience in a healthcare revenue cycle position preferred.
• Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Six (6) months prior coding experience preferred, but not required.
• Strong organizational and time management skills required to effectively prioritize work.
• Ability to communicate effectively with colleagues, supervisor, and manager.
• Ability to work independently. Ability to work remotely.
• Proficient in medical terminology.
• Proficient in ICD-10 CM, CPT and HCPCS coding.
• Able to recognize patterns and trends and escalated to supervisors to support root-cause analysis.
• Able to assist other team members. Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

• Certification as a Registered Health Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS, CCP or CCA certification required.

• Organization:
  Corporate Services
• Department: CBO Coding HB
• Shift: Day Job
• Union Code:
  Not Applicable