[Hiring] Specialist Clinical Coding II @St. Elizabeth Healthcare

Role Description

This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database.

• Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
• Reviews inpatient or observation, same day surgery, and interventional procedure records or emergency department or complex ancillary records.
• Identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence to assign accurate DRG/APC according to Official Coding Guidelines for billing purposes.
• Meets department coding standards for quality and productivity of 96% (New staff are expected to meet these standards upon completion of the training period).
• Assigns all codes based on documentation and participates in corporate compliance program, upholding the highest ethical standards.
• Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference.
• Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner regarding held accounts, coding changes, coding questions, physician queries, rebills, etc.
• Completes various reports such as productivity reports, statistical reports and log sheets to maintain an accurate source of reference material and documentation.
• Performs daily or weekly follow-up of all dates assigned and submits updates accordingly.
• Attends educational programs and applies knowledge to enhance job performance, using resources available for accurate coding (i.e., Coding Clinic and CPT Assistant).
• Performs other duties as assigned.

Qualifications

• Associate or Bachelor’s degree (or equivalent hospital based coding experience).
• CCS, CIC or COC credentials.
• Physician coding credentials of CCS-P and CPC are not preferred but recognized for coding other than inpatient.
• An apprentice credential is not sufficient.

Requirements

• Two to Four years hospital coding experience.
• Specialized Knowledge: Medical Terminology, Anatomy and Physiology, ICD/CPT experience, Prospective Payment Systems, Outpatient Medical Necessity.
• Use of personal computer.

Benefits

• Competitive pay and comprehensive health coverage within the first 30 days.
• Generous paid time off and flexible work schedules.
• Retirement savings with employer match.
• Tuition reimbursement and professional development opportunities.
• Wellness, mental health, and recognition programs.
• Career advancement through mentorship and internal mobility.