Healthcare Coding Specialist II
6 days ago
We are seeking a highly skilled Healthcare Coding Specialist II to join our team at HonorHealth.
The successful candidate will be responsible for assigning and sequencing ICD-10-CM, ICD-10-PCS, CPT, and HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
Responsibilities- Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth.
- Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines.
- Utilizes electronic medical record and computer-assisted coding (CAC) software.
- Codes complex accounts.
- Assigns DRGs as applicable.
- Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs diagnostic and procedural codes for multiple outpatient accounts such as (same day surgery, endoscopy, ED/Trauma, breast health, or other more complex patient type) within HonorHealth.
- Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines.
- Utilizes electronic medical record and computer-assisted coding (CAC) software.
- Codes complex accounts.
- Addresses NCCI, OCE, LCD, and other applicable coding edits.
- Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments.
- Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.
To be considered for this role, you must have:
- A High School Diploma or GED.
- Two years experience in coding complex inpatient accounts including extended length of stay and extensive surgical and/or medical accounts.
Possession of one or more of the following certifications is preferred:
- CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator)
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