[Hiring] Medical Coding Specialist @Ensemble Health Partners

Role Description

This position will pay between $20.45 - $22.50/hr based on experience.

The Medical Coding Specialist position reviews medical record documentation and accurately assigns ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures.

• Follows the Official Guidelines for Coding and Reporting, AHIMA Coding Ethics, AHA Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications.
• Utilizes Coding Applications in accordance with established workflow.
• Follows Policies and Procedures and maintains required quality and productivity standards.

Job Responsibilities:

• Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types.
• Ensures assigned codes support the reason for the visit and the medical necessity documented by the provider.
• Applies appropriate charges such as the Evaluation & Management (E&M) level and injections and infusions when applicable.
• Correctly abstracts required data per facility specifications.
• Performs "medical necessity checks" for Medicare and other payers as required per payment guidelines.
• Monitors and works on accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis.
• Maintains established productivity requirements and key performance indicators for 3M 360 CAC for CRS & Direct Code.
• Remains abreast of current requirements of CMS, including NCD and LCD guidelines.
• Maintains competency and accuracy while utilizing tools such as the 3M encoder, CAC Medical Necessity software, abstracting system, code books, and reference materials.
• Reports inaccuracies found in Coding Software to HIM Management/Supervisor.
• Attends required system, hospital and departmental meetings and educational sessions.

Qualifications

• 1 year of previous coding experience
• PC and Computer application knowledge and experience
• Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint)
• Excellent organization skills, communication, time management, troubleshooting and problem solving
• Ability to multi-task and prioritize needs to meet short- and long-term timelines
• Experience with EPIC and previous use of coding software tools

Requirements

• High School Diploma or GED
• AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement