What are the responsibilities and job description for the Coding Specialist II position at Mon Health?
At Grafton City Hospital, we are committed to providing exceptional healthcare services with compassion, integrity, stability, vision, and innovation. Since 1945, our hospital has been the cornerstone of the Grafton community, serving patients and families with personalized care and advanced medical treatment. As one of the largest employers in Taylor County with over 100 dedicated and caring employees, we are committed to employing our talents and abilities to solve any challenges our patients and communities face. Grafton City Hospital is centrally located less than 30 miles from Morgantown, Bridgeport, and Fairmont, WV.
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JOB SUMMARY The Coding Specialist II is responsible for providing medical coding services to ensure the hospital can obtain appropriate and accurate reimbursement for healthcare claims. This position plays a vital role among medical providers, patients, and insurance companies by reviewing, analyzing, and coding diagnostic, procedural, and clinical information. |
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MINIMUM QUALIFICATIONS Responsibilities: The incumbent will ensure compliance with established coding guidelines, third party reimbursement policies, and regulations. The incumbent will primarily be responsible for clinic accounts working from appropriate documentation in the electronic health record utilizing a provided encoder. The position will also complete appropriate reports and participate in performance improvement projects. This position covers coders and ancillaries as needed. You must communicate effectively with other healthcare team members to clarify information as needed for accurate coding. Education:
Licensure/Certification: Certified Professional Coder (CPC), Certified Coding Associate (CCA) or similar or ability to obtain certification within 2 years of employment. EXPERIENCE: Knowledge of ICD-10-CM is required. Knowledge of CPT coding is required. Knowledge of coding guidelines is required. Knowledge of LCDs, NCDs and other medical review policies applying to outpatient coding is required. 1 or more years of coding experience preferred. 1 or more years of physician billing preferred. |
Grafton City Hospital is an Equal-Opportunity Employer.
