Certified Coding Specialist

2 weeks ago


Shenandoah, Iowa, United States Shenandoah Medical Center Full time
Position Overview

1. Ensures precise coding and sequencing of diagnoses and procedures in accordance with established coding standards, while accurately abstracting clinical data to optimize reimbursement.

  • Evaluates medical documentation to ascertain the diagnoses and procedures executed.
  • Assigns appropriate charge master codes and modifiers for accurate billing and sequencing.
  • Utilizes various information systems to correctly identify patient accounts for entering billable charges.
  • Engages in audits to recover lost charges and verify the accuracy of coding and billing.
  • Maintains ongoing communication with staff and providers regarding incomplete or erroneous documentation.
  • Collaborates with departments to address billing discrepancies.
  • Works closely with healthcare providers and compliance teams to identify documentation changes that may enhance reimbursement.

2. Promotes professional development by setting personal educational goals to uphold coding expertise and regulatory compliance, while participating in opportunities to ensure adherence to professional standards and the delivery of top-quality care.

  • Develops and executes a self-improvement plan to fulfill continuing education obligations for CPC, COC, CCS, and CCS-P certifications.
  • Exhibits strong organizational skills, self-motivation, and adaptability in achieving personal, professional, and institutional goals.
  • Stays informed about national NCCI Coding standards, JCAHO/CMS regulations, and criteria relevant to coding and billing.
  • Maintains up-to-date knowledge of modifications in ICD-10 CM/PCS, CPT-4, and HCPCS, providing insights and education on codes that have been altered or are no longer applicable for billing.
  • Systematically organizes data to identify documentation trends, offering feedback to staff and healthcare providers to enhance the capture of billable services.

3. Adheres to policies, procedures, and regulatory standards while executing additional responsibilities as required.

  • Complies with all departmental and organizational policies and procedures, as well as regulatory standards (including OSHA, CMS, Joint Commission, etc.).
  • Participates in safety and quality initiatives at both corporate and departmental levels.

4. Undertakes other assigned tasks as necessary.



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