Coding Specialist I, Emergency Medicine

Role Overview

• 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

Requirements

• High school diploma or equivalent
• One or more of the following credentials REQUIRED within 12 months of employment
• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist – Physician-Based (CCS-P)
• Must have completed or be close to completing a Coding Program and be eligible to sit for one of the credentials as listed.
• Knowledge of and experience using ICD and CPT coding
• Knowledge of payor guidelines
• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry

Benefits

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources
• Additional compensation may include bonus eligibility, equity, or other incentive programs