Coding and CDI Specialist
4 weeks ago
Job Summary:
The Coding and CDI Specialist will be responsible for performing medical record coding and documentation reviews for inpatient, observation, ambulatory surgery, emergency department, and other outpatient encounters. This role will also provide coding education based on review findings and act as the coding and documentation resource for coding staff, leadership, and CHST providers.
Responsibilities:
*Perform inpatient, observation, ambulatory surgery, emergency department, and other outpatient encounters coding/billing reviews and any follow-up reviews to assure appropriate and compliant coding and billing is maintained.
*Develop and implement appropriate work plans if necessary.
*Provide initial coding and documentation training and orientation for new inpatient, observation, ambulatory surgery, emergency department, other outpatient coders, and CHST providers.
*Participate in activities related to annual code updates, including reviewing impact on inpatient, outpatient, and professional coding and providers, system upgrade testing, developing training documents, providing training to coding staff, CHST providers, and others as needed.
Requirements:
Minimum of five years progressive inpatient and outpatient coding or coding review experience with claims processing and data management responsibilities. Knowledge of AHA and CMS coding guidelines, CPT/HCPCS, and ICD-10-CM/PCS coding system, NCCI, and LCD edits. PC proficient, having a functional knowledge of facility EMR, encoder, and other support software. Experience working in academic teaching and pediatric facilities. High school diploma or equivalent required. Two-year associate degree or equivalent experience preferred. Four-year bachelor's degree or equivalent experience preferred. Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Clinical Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) preferred.
About Children's Health:
We put our people first. We welcome, value, and respect the beliefs, identities, and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute. We offer holistic benefits, including employee portion of medical plan premiums covered after 3 years, 4%-10% employee savings plan match based on tenure, paid parental leave, caregiver leave, and adoption and surrogacy reimbursement.
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