Coding Specialist, Certified
Mount Nittany Health
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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About the role
- 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.
- 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 assignments.
- Assigns proper ICD-10, CPT-4, DRG codes for all diagnoses, procedures, complications, and comorbid conditions during the course of hospitalization after researching the entire record, maintaining a 95% accuracy rate, on a daily basis.
- Performs duties involving abstracting information from the medical record and entering the information into the in-house computer systems and interfaces.
Requirements
- Graduate of an approved Health Information Management Technology program, preferred, with Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS) or other relevant credential, relevant experience, required or eligible.
- As a secondary preference will also consider graduates of Medical Office Specialist program with current, acute care experience with ICD-10, CPT, DRG coding rules and methodologies with Certified Coding Specialist (CCS) or other relevant credential, relevant experience, required or eligible.
- 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.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10CPT-4DRG codingAPC codingabstractingdiagnostic terminologyprocedural terminologymedical terminologydisease processescoding practices
Soft Skills
self-motivatedpersonal integrityorganizational skillsindependent workcommunication skills
Certifications
Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)