Provider Coding Specialist

Location: Columbia

Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)
** Join Team Tidelands and help people live better lives through better health!
**** Education Qualifications
*** High School Diploma Required
** Experience Qualifications
*** 2+ years of abstract coding for physician services Required
* Minimum of four years of healthcare experience, with at least three years of professional coding experience in Orthopedics or OB/GYN Required
* Experience working remotely Preferred
*
* Skills and Abilities

*** Basic knowledge of ICD 10-CM diagnostic and CPT/HCPCS procedure codes principles and guidelines
* Basic knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and metric systems
* Basic knowledge of Standards of Ethical Coding
* Skills and ability to communicate effectively both orally and in writing
* Skills and ability to maintain working relationships with physicians and other staff
* Skills and ability to review the work of others and maintain confidentiality
* Knowledge of Microsoft Applications including (Excel, Word, PowerPoint, Outlook, etc)
* Strong analytical capabilities
* Strong organizational skills
* Advanced ability to function independently and be a self-starter
* Outstanding research skills and ability to use independent judgment to solve problems
* Handle multiple priorities
* Listen and acknowledge ideas and expressions of others attentively
* Converse clearly using appropriate verbal and body language
* Collaborate with others to achieve a common goal through cooperation
* Influence others for positive and productive outcomes
* Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records
* Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines.
* Maintain a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses
** Licenses and Certifications
*** Registered Health Information Administrator - American Health Information Management Association Required or
* Registered Health Information Technician - American Health Information Management Association Required or
* Certified Coding Specialist - American Health Information Management Association Required or
* Certified Coding Specialist - Physician-based - American Health Information Management Association Required or
* Certified Coding Associate - American Health Information Management Association Required
** Physical Demand
** Light Physical Demand  The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.
Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
** Provider Coding Specialist*
* ** A Brief Overview
** Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC.

Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an industry standard clean claim rate.

** What you will do
*** Analyze medical records, interprets documentation, and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD 10 CM), Current Procedural Terminology/Health Care Common Procedure Coding System (CPT/HCPCS), and…