US Acute Care Solutions

Medical Billing and Coding

• Examines medical records to determine the proper ICD (diagnosis) and CPT (procedure codes) to be assigned
• Utilizes coding tools & resources to verify the correctness of CPT and ICD codes assigned
• Abstracts data including providers, injury info, quality measures, and others as needed
• Maintains knowledge of current trends and practices in coding principles and government regulations through reading materials and/or attendance at educational meetings or seminars
• Maintains appropriate certification
• Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies
• Communicates risk management concerns to appropriate parties
• Completes priority accounts (Holds) daily
• Refers complex issues to designated work queues
• Participates in coder specific training and education based on audit metrics and trends
• Review and analyze content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers according to national coding guidelines, USACS policies and SOPs
• Answer coding and abstracting questions from coding leadership, compliance, clinicians, etc
• Maintain coding accuracy rate of ≥ 95%
• Maintain coding productivity (Milestone based standards) rate of ≥ 95%
• Maintain minimum of 15 CEUs per quarter either through Nthrive and/or other company sponsored webinars and programs
• Accurately identify and enter core abstracting elements such as physician and APP attributions
• Identify documentation trends and topics for education/feedback to physicians and APPs
• Keep current with coding and industry changes through participation in educational opportunities

Coding Specialist I, Emergency Medicine

Compliance

• Leads operational oversight and continuous advancement of the USACS Compliance & Ethics and Privacy Program, including the seven core elements of an effective compliance program.
• Promotes consistent application of USACS’s Code of Conduct, compliance policies, and privacy standards while fostering a culture of integrity, accountability, and ethical decision-making across the organization.
• Establishes trusted relationships across the organization and serves as a strategic advisor to leadership on compliance, privacy, governance, and emerging operational risks.
• Identifies existing and emerging compliance, privacy, operational, and technology-enabled risks and partners cross-functionally to develop mitigation strategies, corrective actions, and governance solutions.
• Supports ongoing advancement of the compliance program through process optimization, technology enablement, data-informed insights, and continuous improvement initiatives.
• Develops meaningful compliance reporting, dashboards, and trend analysis to support risk-based prioritization, operational decision-making, and evolving regulatory and organizational priorities.
• Acts as a consultative resource to USACS leaders on compliance and privacy matters and provides recommendations to enhance policies, procedures, and internal controls as needed.
• Leads, develops, and mentors department personnel while fostering accountability, collaboration, operational excellence, and continuous professional growth.
• Partners with Information Security, Information Technology, Legal, and operational stakeholders to support appropriate safeguards, technology governance alignment, and responsible use of digital tools and systems.

Coding Specialist I, Emergency Medicine

Director, Compliance Intelligence & Programs – Privacy Officer