Senior Coding Specialist

2 weeks ago


Tyler, Texas, United States Christus Health Full time

Overview:

*CHRISTUS Health System presents the opportunity for a Senior Coding Specialist position, available for remote work. Candidates must be residents of Texas, Louisiana, Arkansas, New Mexico, or Georgia to be considered for this role.*

Chosen by the CHRISTUS Health Coding Leadership team, this role emphasizes coding proficiency and specialization in designated high-value inpatient or outpatient accounts. The Senior Coding Specialist is tasked with ensuring up-to-date and precise ICD-10-CM, ICD-10-PCS, and/or CPT coding for inpatient and outpatient diagnoses and procedures. This is achieved through meticulous review of clinical documentation and diagnostic results, maintaining a coding accuracy rate of 95% or higher. The Specialist will accurately input data into the CHRISTUS Health electronic medical record systems, confirming correct patient information and physician details, 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 complete and accurate physician documentation that supports proper billing and minimizes denials. Additionally, the Specialist may assist in other departmental areas as directed by leadership.

The position reports directly to the Regional Coding Manager, with further guidance from the Director of Coding Operations and the System HIM Director.

Key Responsibilities:

  • Meets the expectations outlined in the 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 the review of critical documentation to generate appropriate MS/APR DRG.
  • Abstracts necessary information from source documentation for entry into the 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, ensuring timely finalization of accounts once corrections are made.
  • Achieves or surpasses an accuracy rate of 95%.
  • Meets or exceeds the designated CHRISTUS Health productivity standards per chart type.
  • Adheres to the Standards of Ethical Coding established by the American Health Information Management Association (AHIMA).
  • Contributes to the implementation of solutions aimed at reducing 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.
  • Exhibits strong written and verbal communication skills.
  • Capable of working independently in a remote environment with minimal supervision.
  • Participates in discussions related to both internal and external audits.
  • 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 to 3 years of relevant experience is preferred.

Work Schedule:

TBD

Work Type:

Full Time

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