Senior Coding Specialist
2 weeks ago
Overview:
*CHRISTUS Health System is seeking a Senior Coding Specialist for a remote role. Candidates must reside in designated states to be considered for this position.*
Chosen by the CHRISTUS Health Coding Leadership team, this role emphasizes coding proficiency and expertise in specific Inpatient or Outpatient high-value or specialized account categories. The Senior Coding Specialist is tasked with upholding current and superior ICD-10-CM, ICD-10-PCS, and/or CPT coding for Inpatient and/or Outpatient diagnoses and procedural occurrences. This is achieved through meticulous review of clinical documentation and diagnostic findings, maintaining a consistent coding accuracy rate of 95% or higher. The Specialist will accurately abstract data into all relevant CHRISTUS Health electronic medical record systems, ensuring precise patient dispositions and physician information, while adhering to the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
The Specialist will collaborate with various departments within CHRISTUS Health, including but not limited to Health Information Management (HIM) and Clinical Documentation Specialists, to ensure accurate and comprehensive physician documentation that supports correct billing and minimizes denials. Additionally, the Specialist may assist in other departmental areas as directed by leadership.
This position reports directly to the Regional Coding Manager, with additional oversight from the Director of Coding Operations and the System HIM Director.
Key Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Assigns codes for diagnoses, treatments, and procedures in accordance with the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through careful review of critical documentation, generating appropriate MS/APR DRG.
- Abstracts necessary information from source documentation for entry into the appropriate CHRISTUS Health electronic medical record system.
- Validates admission orders and discharge dispositions.
- Works from an assigned coding queue, accurately completing and reassigning accounts as needed.
- Manages accounts on ABS Hold, finalizing them promptly after corrections are made.
- Achieves or surpasses an accuracy rate of 95%.
- Meets or exceeds the designated CHRISTUS Health productivity standard per chart type.
- Adheres to the Standards of Ethical Coding as established by the American Health Information Management Association (AHIMA).
- Aids in implementing solutions to minimize backend errors.
- Identifies and appropriately reports all hospital-acquired conditions (HAC).
- Effectively queries providers for missing or unclear documentation, collaborating with the HIM department and Clinical Documentation Improvement Specialists.
- Demonstrates strong written and verbal communication skills.
- Capable of working independently in a remote environment with minimal supervision.
- Participates in both internal and external audit discussions.
- Performs all other duties as assigned by the Manager.
Qualifications:
- High school diploma or equivalent experience required.
- Completion of an Accredited Baccalaureate in Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program is preferred.
- 1 – 3 years of relevant experience is preferred.
Work Schedule:
TBD
Work Type:
Full Time
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