What are the responsibilities and job description for the Coding Specialist position at Highlands Oncology Group?
Join a world class team and help to bring cancer treatment HOME!
Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 750 diverse team members.
As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.
Job Summary: The Certified Coding Specialist is expected to have and maintain specific expertise and demonstrate proficiency in the patient types and classification system for which she/he is responsible (i.e., ICD-10-CM and CPT/HCPCS) by undertaking a thorough review of applicable documentation to assess the quality of clinical documentation and determine the appropriate diagnosis and/or procedure codes to be reported, in conjunction with all applicable Official Guidelines.
Job Duties / Responsibilities:
- Abstracting pertinent information from the patient records into the electronic medical record and assigning the appropriate ICD-10-CM and/or CPT/HCPCS codes that consistently meets quality coding compliance with the Official Coding Guidelines, CMS, and other regulatory guidelines.
- Querying providers when code assignments are not straightforward or documentation in the record is inadequate or unclear for coding purposes.
- Auditing a quarterly sampling of assigned CPT codes to patient records and report to the physician the finding and suggestions.
- Completing weekly/monthly reports for providers of coding issues and/or billing issues.
- Keeping abreast of coding guidelines and reimbursement reporting requirements.
- Maintain patient/clinic confidentiality.
- Perform all related duties as required by Business Office Director, Revenue Cycle Manager – Coding/Finance, and Coding Supervisor.