Senior Coding Specialist

2 months ago


Reno, United States TEEMA Group Full time
Job DescriptionJob Description

Position Summary: Ensure accurate assignment of ICD-10-CM diagnostic/procedure PCS codes in clinical settings to comply with regulatory and CMS guidelines for precise reimbursement.

REMOTE OUTPATIENT

Responsibilities:

  • Review clinical documentation to determine appropriate charges, resolving discrepancies as needed with HIM staff.

  • Apply clinical knowledge to interpret disease processes, pharmacology, and surgical techniques from inpatient records.

  • Adhere to HIM and AHA Official Coding Guidelines to support accurate code selection.

  • Maintain coding certification and stay updated on ICD-10-CM guidelines and regulatory changes.

  • Participate in performance improvement initiatives and provide education on documentation and coding practices.

  • Other duties as assigned.

Qualifications:

  • Proficiency in Anatomy, Physiology, Pharmacology, Disease Pathology, and Medical Terminology.

  • Strong understanding of CMS Official Guidelines for ICD-10-CM and PCS coding.

  • Ability to translate diagnostic descriptions into precise codes for optimal reimbursement.

  • Familiarity with Electronic Medical Records and clinical content standards.

  • Effective critical thinking, problem-solving, and teamwork skills.

  • Strong work ethic and adherence to company policies.

  • Proficiency in Microsoft Office Suite (Outlook, PowerPoint, Excel, Word) and computer skills.

  • Experience with HB Coding – EPIC and 3M systems.

  • Required Certifications: CCS, CPC, and/or CIC Coding credential.

  • Experience: Minimum 2-5 years in inpatient coding; 5-8 years in outpatient coding preferred, with acute care facility experience desirable.



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