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Position Summary

This position receives supervision from the Professional Service Coding Manager to assign, per coding guidelines, the current ICD10 diagnosis and CPT-4 procedure codes for professional services. Completes and assists in monitoring coding for all accounts on a daily basis to stay consistent with department productivity standards/goals. Follows up on accounts needing coding queries or documentation completion by clinicians or medical staff. Also assists in performing internal coding quality reviews to ensure compliance with AMA/CMS coding guidelines, definitions and coding policies. This position also provides training and education to the Coding Staff and Medical Staff, and maintains current department policies related to coding and abstracting. This position assists with coding production as needed, reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvement related to coding and abstracting.

Education

• High School or equivalency. (Required)

Experience

• Five years abstract medical record coding and reimbursement experience utilizing the current version of ICD diagnosis and procedure codes and CPT-4 coding classification systems. (Required)
• Experience with encoder application and electronic medical record. (Preferred)
• Experience with auditing concepts and principles. (Preferred)
• Experience with staff training in a health care setting (Preferred)

Certifications

• Requires at a minimum of one Coding Certification from either the AAPC or AHIMA for Professional Coding. (Required)

Special Skills

• Strong computer skills, including Microsoft Outlook, Excel and Word. (Required)
• Ability to apply knowledge of anatomy, physiology, clinical disease processes, pharmacology, diagnosis and procedural terms to assign the current version of ICD diagnosis and procedure codes and CPT-4 procedure codes. (Required)