Medical Coding Specialist

4 weeks ago


Providence, Rhode Island, United States Care New England Health System Full time
Job Summary:

We are seeking a skilled Medical Coding Specialist to join our team at Care New England Health System. As a Medical Coding Specialist, you will be responsible for accurately coding outpatient and inpatient professional services, procedures, diagnoses, and conditions. You will work from the appropriate documentation in the medical record, using classification systems such as ICD-9-CM, CPT, HCPCS, and other specialty systems as required by diagnostic category.

You will ensure that all work is carried out in accordance with the rules, regulations, and coding conventions of the American Association of Professional Coders (AAPC) ICD9 (and ICD10 when implemented), AMA CPT, and CMS coding guidelines. Additionally, you may assist and be a resource for data integrity for other employees who need clarification and assistance in coding.

Key responsibilities include reviewing medical records to identify procedures and diagnoses, demonstrating a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures, and other classification systems. You will also assign codes and code all diagnostic and operative information from the medical record using ICD-9-CM, ICD-10, CPT, and HCPCS coding classification systems, and independently quality check your work.

You will ensure that all data abstracted is consistent with guidelines outlined by JCAHO, and CMS, regional, and local policy. You will interact with physicians to clarify and accurately document patient diagnostic and procedural information, enter patient information into the computerized outpatient medical record databases, and ensure timely record availability by meeting established coding and abstracting productivity standards.

You will maintain and comply with policies and procedures for confidentiality of all patient records, and maintain current coding credential. You will also demonstrate knowledge of and utilize auditing skills related to coding quality and compliance, and understand the clinical content of a health record, including the most complicated records.

We are an equal opportunity employer and welcome applications from diverse candidates. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.



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