Certified Coding Specialist - Holy Cross Medical Center

Qualifications:

High School diploma or GED.

3 - 5 years of experience in coding Experience.

Strong knowledge of ICD-10 coding with excellent analytical and data mining skills.

Ability to effectively manage projects, plan and implement programs, and evaluate outcomes.

Ability to effectively work with direct various levels of staff (including on-site and remote).

Knowledge of Medical Terminology and Anatomy and Physiology.

Ability to have an excellent balance of being highly productive and yet produce high quality work.

Ability to interpret federal and state regulations as they relate to coding and compliance.

Must have one of the following:

AHIMA (American Health Information Management Association) certification and credential

AAPC (American Academy of Professional Coders) certification and credential.

• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office Suite programs required.

Job Summary:

Reviews, abstracts and assigns technical, professional, and ethical International Classification of Diseases-10-CM/PCS (ICD-10-CM/PCS) to inpatient services and ICD-10-CM.

Ensures compliance with third party, State and Federal regulations.

Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided.

Obtains missing information and/or clarifies existing information.

Completes volume of work from medical records and other sources according to departmental productivity standards.

Accurately assigns International Classification of Diseases 10-CM/PCS (ICD-10) diagnostic and procedural codes.

Groups codes and completed product into payment group.

Analyzes information for optimal and proper reimbursement.

Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.

Uses appropriate software to validate information.

Utilizes Host EHR and Encoder, MS Office, and other software as appropriate to compile and validate medical information.

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