What are the responsibilities and job description for the Coding Specialist - Health Information Management (HIM), FT position at Knox Community Hospital?
JOB SUMMARY
The Coding Specialist is accountable for the data conversion of diagnoses and treatment procedures into reportable codes using the International Classification of Diseases (Current Revision) and the Current Procedural Terminology manuals. The Coding Specialist also represents a critical service to the Revenue Cycle Management to assure a clean and compliant claims are processed.
PRIMARY JOB RESPONSIBILITIES
EDUCATION AND WORK EXPERIENCE
Associates degree or Bachelor’s degree in Health Information Technology, and/or Certification if fields related to coding in an acute care facility and Physician Practice such as American Health Information Management; Certified Coding Specialist (CCS) Certified Coding Specialists-Physician (CCS-P), or Certified Coding Associate (CCS-A). The accepted American Academy of Professional Coders qualifying certifications are Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and Certified Inpatient Coder (CIC). Two or more years of experience in coding with ICD-10-CM, ICD-10-PCS and all CPT and HCPCs level coding manuals is required. The ability to work with physicians in a collaborative manner.
KNOWLEDGE AND SKILLS
Knowledge of diagnostic and procedural coding principals, conventions, methodologies, and perspective payment program systems respective to coding compliance.
- Thorough knowledge of related prospective payment systems.
- Broad knowledge of pharmacology indications for drug usage and related adverse reactions.
- Knowledge of ancillary testing (Laboratory, x-ray, electrocardiogram).
- Knowledge of anatomy, physiology, and medical terminology.
- Understanding of coding practices and guidelines.
- Experience with personal computer and mainframe applications and with encoding systems.
- Auditing skills for coding quality and compliance.
- Strong process management skills. Result-oriented with an ability to analyze and problem solve.