Coding Specialist Certified

• Graduate of an approved Health Information Management Technology program, preferred.
• Must have Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS) or other relevant credentials such as Certified Professional Coder (CPC) or one year of relevant experience.
• If does not have credentials, must obtain the required credentials within 1 year of hire/transfer. OR
• Graduate of Medical Office Specialist program with current, acute care experience with ICD-10, CPT, DRG coding rules and methodologies required.
• Must have Certified Coding Specialist (CCS) or other relevant credential or one year of relevant experience.
• If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.

State College, PA, United States

The responsibility of the Coding Specialist Certified is to search a patient's entire medical record to ensure comprehensive coding and abstracting utilizing the coding rules, principles and ethics under the supervision of the Coding Supervisor and Manager, Health Information Management. With quality and reimbursement contingent upon coding, it is the responsibility of the Medical Center Coding Specialist Certified to have knowledge of DRG methodology, ICD-10, CPT-4 and APC coding rules and principles.

• Graduate of an approved Health Information Management Technology program, preferred.
• Must have Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS) or other relevant credentials such as Certified Professional Coder (CPC) or one year of relevant experience.
• If does not have credentials, must obtain the required credentials within 1 year of hire/transfer. OR
• Graduate of Medical Office Specialist program with current, acute care experience with ICD-10, CPT, DRG coding rules and methodologies required.
• Must have Certified Coding Specialist (CCS) or other relevant credential or one year of relevant experience.
• If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.

• Current, acute care experience with ICD-10, CPT, DRG, APC coding rules and methodologies preferred.

• Demonstrates knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology).
• Self-motivated individual with personal integrity to organize work and work independently.
• Typing skills with basic knowledge of computer operations.
• Communication skills necessary to approach the medical staff, hospital personnel, ancillary department etc. for any clarifications regarding record questions or problems utilizing coding rules and principles.

• Registered Health Information Technician (RHIT) and/or Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC) are required within 1 year of hire/transfer.

Receives minimal supervision from the Supervisor, HIM Coding. Must be able to work independently.

None

• Reviews the medical record for diagnoses and procedures performed.
• Analyzes and searches the documentation listed in the entire medical record for all documented clinical information (diagnoses and procedures) in accordance with established procedures, daily, and trained in a minimum of 3 out of the 4 following areas:
  • Inpatient records
  • Outpatient records
  • Emergency Room records
  • Clinical /Diagnostic records
• Identifies and sequences principal diagnosis, secondary diagnoses, principal procedures, complications and comorbid conditions, for optimal reimbursement, utilizing proper coding practices, on a daily basis.
• Selects ICD 10-, CPT-4, DRG code…