What are the responsibilities and job description for the Coding Specialist II position at BryanHealth?
Summary
Possesses the knowledge and skills to thoroughly review the clinical content of outpatient, therapy/recurring series, specialty clinic, emergency department/emergency charge capture, outpatient surgery, observation and simple inpatient medical records and assign appropriate ICD-10-CM codes to diagnosis and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement.
- *Studies and analyzes the clinical content of a medical record.
- *Assigns and sequences diagnosis and procedure codes appropriately to arrive at the correct DRG or APC assignment.
- *Enters coding information into the computer system for reimbursement purposes for submitting patient's claims.
- *Maintains a thorough and updated knowledge of Clinical Coding Guidelines, Fiscal Intermediary directives, Coding Compliance standards and Local Medical Review Policies.
- *Instructs other hospital staff on appropriate medical necessity needed for coding accurately.
- Assists with peer review auditing activities for accuracy and compliance.
- *Maintains strict confidentiality regarding patient information.
- *Works as a team member to ensure that all coding types meet or exceed the established quality standard coding accuracy while meeting or exceeding productivity standards set forth by the department leadership.
- Abides by the Code of Ethics and the Standards of Ethical Coding as set forth by the American Health Information Association (AHIMA) and adheres to Official Coding Guidelines.
- Adheres to relevant policies, procedures, regulations and expectations of Bryan Health.
- Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
- Participates in meetings, committees and department projects as assigned.
- Performs other related projects and duties as assigned.
EDUCATION AND EXPERIENCE:
High school diploma or equivalency required. Coursework in ICD-10-CM and CPT Coding procedures required. Minimum of one (1) year facility coding experience in a medical environment required.
OTHER CREDENTIALS / CERTIFICATIONS:
Certification as a Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder (CPC), Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) required.
