Specialist-Clinical Coding II

Schedule: Days (hours may vary)

Hybrid: Must reside in Indiana

Preferred Specialty Experience:

• OB/GYN coding experience
• Inpatient (IP) and Outpatient (OP) coding experience

Benchmarks for Success

1-4 Months

• Complete onboarding and compliance requirements
• Gain access to required systems
• Shadow team members and workflows
• Begin outpatient coding responsibilities

4-9 Months

• Perform more complex coding assignments
• Meet productivity and accuracy standards
• Work coding denials and pre-bill edits

9-12 Months

• Independently code complex cases
• Proficient in both inpatient and outpatient coding
• Function fully independently within the role

Top Responsibilities

• Review clinical documentation and diagnostic results
• Assign accurate ICD-10-CM, CPT, & HCPCS codes
• Ensure accurate APC assignment
• Resolve pre-bill coding edits
• Work coding-related denials
• Maintain coding quality, productivity, and compliance standards
• Provide operational support as needed to remain current on workflows and functions

Required Skills

• Requires high school diploma or equivalent.
  • RHIT or CCS credential required.
  • Requires a minimum of 3 years of relevant experience in ICD-9; CPT code assignment and APC grouping.
  • Requires ability to read, understand and interpret medical records and other treatment documentation.
  • Requires high level of concentration.
  • Requires the ability to function effectively in a high-volume environment.
  • Requires effective written and verbal communication skills to communicate with physicians.

Preferred Certifications

• CPC (AAPC)
• CCS (AHIMA)

Systems Experience Preferred

• Epic
• IDX
• 3M
• Excel
• FinThrive (KnowledgeSource)