Coding Specialist (4602)

Job Details: Job Location: Remote - Minot, ND 58701, Position Type: Full Time, Salary Range: $22.82 - $34.23 Hourly, Position Summary:

The Coding Specialist position translates medical documentation into standardized codes for billing, claim processing, and data analysis. This position is a senior level, mentoring position for other coders and requires individuals with significant experience and a high level of coding proficiency. This position requires the ability to analyze operative reports and assign surgical codes according to coding guidelines and payer requirements.

Key Responsibilities:

• Documentation Review: Analyze and interpret clinical documentation to ensure completeness and accuracy for coding purposes.
• Assign Codes: Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services based on clinical documentation and official coding guidelines.
• Validate Codes: Verify and correct codes recommend by Computer-Assisted Coding (CAC) software.
• Utilize Coding Guidelines: Research and utilize all current coding guidelines for appropriate code assignment; including but not limited to AHA Coding Clinic, CPT Assistant, federal regulations, CCI coding initiatives, Official Guidelines for ICD-10 and CPT, insurance payer guidelines and Trinity Health internal coding guidelines.
• Collaboration: Work with healthcare providers/team to clarify inadequate, ambiguous, or unclear documentation to resolve coding discrepancies.
• Workflow and Processes: Follow established workflows and processes to ensure efficiency and productivity.
• Coding Claim Edits: Review, resolve, and process coding claim edits to ensure clean claim submission.
• Productivity: Maintain acceptable productivity rate according to established coding benchmarks based on type of work.
• Quality: Maintain acceptable quality rate at 95% or higher.
• Confidentiality: Ensure strict confidentiality of healthcare and financial records by following Trinity Health policies related to Compliance, Privacy and Security.
• Teamwork: Engage as a team player and assist others as needed.

Qualifications: Licenses and Certifications Required:

• An applicable credential from one of the following associations is required upon hire: American Health Information Management Association, including CCA, CCS, CCS-P, RHIT, or RHIA; or American Association of Professional Coders, including CPC-A, CPC, COC, or CIC.

Educational Requirements:

• AHIMA or AAPC certification required.

Experience Requirements:

• Medical coding coursework or training applicable to the position.
• Minimum of 8 years of coding experience.
• Prior experience includes (facility or professional) INP, ETC, SDS, OBS.

Special Skills or Training Requirements:

• Knowledge of ICD-10, CPT, and HCPCS coding and interpreting/applying coding guidelines.
• Strong understanding of medical terminology, anatomy, and physiology.
• Proficiency with computers.
• Ability to use electronic health record systems, coding software, billing software, and other relevant computer programs.
• Strong attention to detail.
• Strong communication skills.
• Problem-solving capabilities.