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Certified Coding Specialist

Franciscan Health
Franciscan Health Salary
Mishawaka, IN Full Time
POSTED ON 1/31/2025
AVAILABLE BEFORE 3/31/2025

Work From Home

Work From Home Work From Home, Indiana 46544

The Certified Coding Specialist is responsible for reviewing electronic medical record (EMR) documentation and applying ICD and CPT codes per official coding guidelines with a specific focus on professional primary care and urgent care visits. The position services as a subject matter expert to providers and staff for questions and updates related to coding.

WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

  • Reviews E/M, procedure codes and diagnosis codes for accuracy. Reviews and analyzes the content of the EMR to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT, procedure codes, modifies, hierarchical condition categories, complications, and comorbidities to meet coding guidelines.

  • Verify insurance eligibility and update electronic medical record registration as appropriate.

  • Communicates electronically with the provider and or operations for documentation or clarification to support codes. Understands how diagnosis and procedure codes, and reimbursement methodologies are utilized for reimbursement.

  • Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines.

  • Audits and analyzes software system and charts to identify trends and issues. Communicates these findings and concerns to the manager.

QUALIFICATIONS

  • High School Diploma/GED - Required

  • 1 Year Coding Experience - Required

  • CPC, CCA, or CCS - Required

TRAVEL IS REQUIRED:

Never or Rarely

JOB RANGE:

Certified Coding Specialist $20.06-$26.81

INCENTIVE:

Not Applicable

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Salary : $20 - $27

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