Clinical Data Specialist

5 days ago


Rockledge, Florida, United States Health First Full time
{"Job Title": "CDS Outpatient Coder III", "Job Summary": "We are seeking a highly skilled Clinical Data Specialist to join our team at Health First. As an Outpatient Coder III, you will be responsible for providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement.

**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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