Clinical Data Specialist
5 days ago
**Key Responsibilities:**
* Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines.
* Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation.
* Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record.
* Request clarification from provider when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element.
* Abstract pertinent information accurately and completely into the computer assisted coding application.
* Maintain coding quality and productivity as per departmental standards.
* Competent in analyzing medical necessity of codes assigned utilizing and applying local and national coverage determination regulations and guidelines.
* Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle.
**Requirements:**
* 3 years outpatient coding experience.
* High School Diploma.
* Competent in understanding medical terminology.
* Basic understanding of anatomy and physiology.
* Excellent communication, problem solving and critical thinking skills.
* Ability to read and comprehend instructions, correspondence, memos, and electronic mail.
* Must be detail and accuracy oriented.
* Ability to coordinate and use logical reasoning to facilitate daily workflow assignments.
* Ability to multi-task.
**Preferred Qualifications:**
* 5 years outpatient coding experience.
* Coding Certification (AHIMA or AAPC).
**About Us:**
Health First is a leading healthcare organization dedicated to providing high-quality patient care and services. We are committed to fostering a culture of excellence, innovation, and teamwork.
**Location:**
Florida - Brevard County-Rockledge.
**Requisition ID:**
071986
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