Coding Specialist

Location: Madison Heights

General

Position Summary:

The Coding Specialist works as part of the billing team to abstract data from the patient charts based on clinical documentation.

Essential Duties and Responsibilities:

Reviews patients’ medical records and assigns diagnoses and procedure codes according to the principles of ICD-10-CM, CPT, and HCPCS guidelines.

Ensures compliance with federal and state regulations.

Assigns and sequences all codes for services rendered.

Abstracts pertinent data from the medical record.

Possesses a working knowledge of applicable payer methodologies.

Able to determine if medical necessity was met within the patient record according to clinical documentation.

Ensures all codes used are current and active.

Reports missing or incomplete documentation to the provider.

Performs regular chart audits and coding reviews to ensure clinical documentation is accurate and precise.

Provides training to providers and nursing staff as appropriate.

Works with departments to optimize workflow for locking of notes.

Ensures confidential information gained through job performance is kept confidential.

Must demonstrate good internal and external customer service skills.

Physical attendance is an essential element of the job and necessary to perform the essential functions of this position.
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Performs other duties as assigned.

Other Functions:

Staff will abide by the Code of Conduct as documented in the Corporate Compliance Manual.

Must demonstrate a personal and professional commitment to Johnson Health Center (JHC) and its mission.

Treats all patients and staff with dignity and respect, mindful of the cultural differences of the diverse population we serve.

Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require.

JHC Core Values:

Staff members must actively demonstrate dedication and commitment to the core values of JHC.Respect – We value and respect each patient, their family, ourselves, and each other.

Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people’s differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice.

Integrity – We are committed to doing the right thing every time.

Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions.

Excellence – We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation, and efficiencies.

At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement.

Innovation – We value creativity, flexibility, and continuous improvement efforts.

We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures.

Teamwork – We understand that teamwork is the essence of our ability to succeed.

We work across functional boundaries for the good of the organization. Our collaborative approach ensures participation, learning and respect and serves to improve the quality of patient care. By focusing on a team-based approach, the expertise of each Johnson Health Center employee is leveraged to optimize the patient experience.

Qualifications:

High School diploma or equivalent. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred or must be willing to obtain certification within six months of hire.

Two to five years’ previous coding experience required.

Must be self-motivated with well-developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions.

Must possess strong communication skills; works well with external organizations and employees.

Physical Demand and Working Environment:

Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up to 15 pounds occasionally, with frequently moving of objects. Work requires speaking, sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain activities. 8-10 hours of constant computer usage. OSHA low-risk position.
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