[Hiring] Coding Specialist @Four Seasons, The Care You Trust

Role Description

The Coding Specialist is responsible for the correct application of ICD-10-CM, HCPCS, and CPT codes to facilitate reimbursement and reporting requirements. The Coding Specialist will be a team player that can collaborate with multiple departments regarding the status of coding. The Coding Specialist will identify opportunities for improvement and work with appropriate staff to ensure that documentation is compliant with coding guidelines. The Coding Specialist will identify trends in data and communicate potential training needs to professional development staff and leadership.

Assignment of diagnostic and/or procedure codes will require supporting medical and clinical documentation found within the patient’s record or referred documents. Documents used in the review may include, but are not limited to:

• Comprehensive assessment
• Physician narratives
• Medication profile
• Referral source data

Essential Duties & Responsibilities

• Enter and reconcile all medications required for Medicare claim reporting.
• Work to achieve performance goals, pursue progress toward individual development plan (IDP) and demonstrate Four Seasons values and competencies.
• Ability to perform detailed work with accuracy, develop rapport with others, function as a team member, work independently with a minimum of supervision, and demonstrate excellent interpersonal and organizational skills.
• Identify, compile, abstract, and code patient data, using standard classification systems.
• Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with physicians, billing, palliative, and clinical informatics to get additional information.
• Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
• Identify opportunities for improvement when reviewing clinical documentation, for prospective, retrospective and concurrent reviews.
• Notes and records deficiencies/errors and coordinates with professional staff as needed on a case-by-case basis to ensure that necessary documentation is corrected and/or provided.
• Compile and maintain patients' medical records to document condition and treatment and to provide data for third-party payers, research, or other improvement efforts.
• Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment EMR.
• Identify and communicate trends and staff training needs to the Professional Development staff.
• Release information to persons and agencies according to regulations.
• Protect the security of medical records to ensure that confidentiality is maintained.

Qualifications

• Knowledge of HIPAA privacy policies, informed consent, and other regulations.
• Knowledge of regulations governing professional area.
• Excellent written, oral and collaborative communication skills.
• Excellent interpersonal skills.
• Excellent attention to detail and accuracy.
• Proficient in MS Office: Outlook, Excel & Word.
• Ability to work independently with minimum supervision.
• Ability to work under pressure to meet deadlines.
• Ability to take initiative and utilize innovative techniques.
• Ability to interact with various departments throughout the organization.
• Ability to participate as a team player.
• Ability to plan, prioritize and coordinate daily tasks.
• Ability to bend, stoop, lift up to 35 pounds, and sit for long periods of time.

Minimum Qualifications

• Education: Associate degree in healthcare, business, or a related field or equivalent experience.
• Preferred: RN.
• Experience: 2-3 years of work experience in the administrative, business or healthcare field.
• Licensures & Certifications: Certified Coder in ICD-9 and ICD-10 (in process is acceptable), valid driver’s license and proof of automobile insurance.

Summary of Physical Requirements

• Walking, sitting, reaching, bending flexion/extension of arms/wrist.
• Carrying, hand dexterity to include gripping/grasping.
• Requires frequent writing.