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ProFee Coding Specialist II
University HospitalsProFee Coding Specialist responsible for accurately coding moderately complex medical encounters and following established coding guidelines. Maintaining up-to-date skills and adhering to ethical coding standards.
About the role
Key responsibilities & impact- Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines.
- Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations.
- Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
- Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
- Ensures optimal CPT, ASC, APC, APG assignment as applicable.
- Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
- Supports OP Clinical Documentation Improvement program.
- Maintains productivity and quality rate according to established standards.
- Works within UH Billing time frames.
- Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars.
- Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
- Maintains up to date credentials.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Requirements
What you’ll need- Education High School Equivalent / GED (Required)
- Associate's Degree preferably in HIM (Preferred) or Bachelor's Degree (Preferred)
- 2+ years ICD-10 CM, PCS and/or CPT coding experience (Required)
- Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency)
- Detail-oriented and organized, with good analytic and problem solving ability. (Required proficiency)
- Self-motivated with ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
- Strong written and verbal communication skills. (Required proficiency)
- Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency)
- Licenses and Certifications Certified Professional Coder (CPC) (Required Upon Hire) or Certified Coding Specialist (CCS) (Required Upon Hire) or Registered Health Information Technologist (RHIT) (Required Upon Hire) or Registered Health Information Administration (RHIA) (Required Upon Hire) or Certified Coding Associate (CCA) (Required Upon Hire) or Radiology Coding Certification (RCC) (Required Upon Hire) or Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)
Benefits
Comp & perks- $5,000 Sign on Bonus with Coding Experience
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 CMICD-10 PCSCPT codingmedical terminologyanatomyphysiologypathophysiologypharmacologycoding guidelinescoding edits
Soft Skills
detail-orientedorganizedanalyticalproblem solvingself-motivatedteam playerstrong written communicationstrong verbal communication
Certifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Registered Health Information Technologist (RHIT)Registered Health Information Administration (RHIA)Certified Coding Associate (CCA)Radiology Coding Certification (RCC)Radiation Oncology Certified Coder (ROCC)Certified Hematology and Oncology Coder (CHONC)