Certified Coding Specialist Sr
18 hours ago
INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a highly skilled Certified Coding Specialist Sr to join our Health Information Management team in Oklahoma City, OK.
About the Role:The Certified Coding Specialist Sr will analyze clinical and demographic information from the Health Information record, assign appropriate ICD-10 and CPT codes, and ensure compliance with CMS, state, and other regulatory agencies. This role requires a strong understanding of medical terminology, anatomy, and physiology, as well as coding and application knowledge.
Responsibilities:- Assign hospital DRGs proficiently and analyze documentation for appropriate severity of illness and risk of mortality reporting.
- Provide mentorship and training to on-boarding coders.
- Complete analysis of documentation, abstracting, and code assignment by body system, organ, etiology, and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state, and federal guidelines, and hospital abstracting guidelines.
- Perform queries and obtain documentation required for coding for records maintained in other departments.
- Coordinate documentation needs, query follow-up, and final DRG assignment with the Clinical Documentation Specialist.
- Review provider documentation for coding appropriateness, analyze medical records to complete accurate code selection, and maintain communication with Management and Providers to ensure timely notification of identified documentation issues.
- Assign diagnosis and procedure codes for clinic visits, surgical procedures/deliveries, and other billable professional services.
- Act as a mentor to other team members to assist with inquiries regarding coding, documentation.
- Knowledge of medical terminology, anatomy, and physiology, coding, and application.
- Knowledge of various computer applications, including Windows, Excel, healthcare information systems, and encoders.
- One of the following certifications: CCS, CPC, CRC, RHIT, or RHIA, with two years of coding experience.
- Ability to communicate effectively in English (oral/written).
INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
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