Role Description
Coding Specialists 2 are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The Coding Specialist 2 will code Professional Fee, Facility or HCC. The Coding Specialist 2 could be an Inpatient coder or could include a minimum of four specialists. Professional Fee Specialties could include:
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UR
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Podiatry
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Plastics
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Pediatrics
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OB
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Pain Management
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Ortho
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Addiction
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General Surgery
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Internal Medicine
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Urgent Care
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Pulmonary
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ED
Facility Chart types could include:
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IR
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Infection Disease
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OBS
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Oncology
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Neurology
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SDS
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OT
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PT
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Urgent Care
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ED
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A variety of other specialties
The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position:
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Work from home and be independent in coding skills.
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Provide various components of coding services to support clients.
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Calculate ProFee and/or Facility E/M levels using a company-created algorithm (training provided).
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Recognize critical care cases by patient acuity.
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Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
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Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
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Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPTยฎ, and HCPCS.
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Interpret coding guidelines for accurate code assignment.
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Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
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Maintain quality and productivity standards.
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Communicate with clients in a professional manner that fosters an excellent working relationship.
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Assist Leadership or Lead Coding Specialist with reports as needed.
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Potential opportunity to begin helping with auditing.
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Align conduct with AHIMA's Standards of Ethical Coding and the Companyโs Code of Ethics and Business Conduct.
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Comply with all internal policies and procedures.
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Maintain at least one credential through AAPC or AHIMA.
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Actively participate in Company provided training and education.
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Ensure compliance with all privacy and security rules and regulations.
Qualifications
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All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
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Minimum of 2 years of experience.
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Advanced working knowledge and experience with systems such as EMR, Billing, etc.
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Proficient in Microsoft programs like Excel and Outlook.
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Current coding materials such as CPT and ICD-10-CM coding references.
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Ability to communicate effectively and professionally both verbally and in writing.
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Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
Requirements
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Regular, predictable, and punctual attendance is required.
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Maintain an ongoing productivity level and accuracy rate of 95% or higher.
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Maintain an ongoing quality score of 95% or higher.
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May be required to perform other duties as assigned by Leadership Team Member.
Physical Demands
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Regular eye-hand coordination and manual dexterity is required to operate office equipment.
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Ability to perform work at a computer terminal for 6-8 hours a day.
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Function in an environment with constant interruptions.
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Ability to lift and move material weighing up to 20 lbs.
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May experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.