Ambulatory Coding Specialist
2 weeks ago
Position Overview:
At Hackensack Meridian Health, our team members are the cornerstone of our success. We are dedicated to enhancing the health and well-being of our patients while fostering an environment where our employees can thrive. Our culture emphasizes collaboration and connection, ensuring that competitive benefits are just the beginning of what we offer. We are committed to supporting each other and positively impacting our community.
As an Ambulatory Coding Specialist, you will play a crucial role in accurately abstracting data in accordance with the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines, as well as directives from the Centers for Medicare and Medicaid Services (CMS) across the Hackensack Meridian Health network. You will be responsible for entering essential abstracted patient information into the electronic medical record system and engaging with physicians as necessary.
Key Responsibilities:
A typical day as an Ambulatory Coding Specialist includes:
- Assigning codes to clinical services for reimbursement and data collection purposes.
- Ensuring accurate coding and abstraction of patient encounters, including diagnostic, surgical, and procedural details, as well as significant reportable elements and complications.
- Reviewing clinical documentation and communicating with healthcare providers to obtain additional information when necessary.
- Analyzing medical records to identify documentation deficiencies.
- Recognizing reportable elements, complications, and other quality measures.
- Monitoring work queues for billing corrections on a daily basis.
- Assigning CPT, HCPCS, and ICD-10-CM codes.
- Understanding and addressing National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local Coverage Determinations (LCD) edits.
- Maintaining required productivity and quality standards.
- Adhering to organizational policies, procedures, and standards of behavior; ensuring the integrity of patient records.
- Performing other duties and projects as assigned.
Qualifications:
Education, Knowledge, Skills, and Abilities Required:
- High School diploma or equivalent.
- A minimum of 1 year of coding experience for professional services.
- Strong knowledge of physiology, medical terminology, and anatomy.
- Proficient computer skills, including typing speed and accuracy.
- Excellent written and verbal communication abilities.
- Familiarity with Microsoft Office and Google Suite platforms.
- Ability to achieve and maintain coding quality and productivity standards as set by organizational compliance education.
Preferred Knowledge, Skills, and Abilities:
- Prior experience with outpatient hospital ICD10 diagnosis, CPT procedural, and E&M coding is preferred.
Licenses and Certifications Required:
- Certification as a Registered Health Information Technician, Registered Health Information Administrator, Certified Coding Specialist, or Certified Professional Coder.
Preferred Licenses and Certifications:
- Possession of an approved coding credential from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).
If you believe your skills and experience align with this role, we encourage you to consider this opportunity.
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