What are the responsibilities and job description for the Certified Coding Specialist position at Wood County Hospital Assn?
Elevate your career at Wood County Hospital, where you're not just a number – you're a vital part of a team making a real difference.
Certified Coding Specialist Under general supervision, the Coding Specialist accurately and efficiently codes and analyzes medical records for proper assignment of ICD-10-CM, ICD-10-PCS, CPT, Evaluation and Management and HCPCS coding methodologies. Researches claim denials, pre-bill edits, and coding errors, acts as a coding reimbursement resource. Works as a team member to process patient health information that supports patient care, legal, statistical, educational, and financial (reimbursement) requirements. Maintains patient confidentiality at all times. Utilizes manual and electronic information systems to achieve timely and accurate medical record documentation review and analysis. Contributes to process improvement.Job Duties:
Reviews physician documentation and applies the corresponding ICD-10-CM, ICD-10-PCS, CPT, Evaluation and Management and HCPCS codes. Accurately assigns diagnosis and procedural, treatment codes for designated patients types including, inpatient, surgical, observation, outpatient, outpatient surgery, outpatient therapy, ancillary and emergency department records to support statistics, research, education, and reimbursement. Applies LCD and NCD (local and national coverage determination) rules and guidelines. Researches and resolves claim denials.
Assists physicians and other staff members with questions concerning the coding and/or documentation requirements for appropriate coding and reimbursement. Serves as a coding expert for documentation requirements that support patient care and reimbursement, e.g., case mix, etc.
Utilizes electronic health record and billing systems as well as third-party websites to obtain medical policies to determine charge capture integrity. Ability to research payor contracts, coding and medical necessity guidelines and respond to claim denials and audit inquires.
Minimum Requirements:
Minimum Education:
High School Diploma or equivalent
Minimum Certification:
Successful completion of an AHIMA or AACP leading to the achievement of a professional credential of RHIA, RHIT, CCS, CCA, CPC, CCS-p required or obtain within a year
Minimum experience:
1 year coding experience required
1 year work experience in a healthcare setting, hospital, office or ambulatory coding experience required
Benefit Summary:
Join our team, and you’ll have access to a cutting-edge facility with state-of-the-art technology. You’ll also interact with some of the region's top notch healthcare professionals. You’ll find plenty of opportunities to grow and advance your career.
We’ll also reward your hard work with:
Great health, dental and vision plans
Competitive wages
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Generous short term and long-term disability plans
Employer-matched 403(b)
Employer sponsored cash balance pension plan
Vacation and Holiday time
Generous tuition reimbursement
And a lot more!
