Position Overview: Reporting to the Coding Manager, the Coding Specialist is responsible for assigning medical codes to facility charges for multispecialty outpatient surgical facilities resulting in claims reimbursement.

Responsibilities:

• Review and analyze medical records to identify diagnoses, procedures, and services provided
• Assign appropriate ICD-10 codes to reflect the diagnoses and procedures documented in the medical records.
• Ensure coding accuracy and compliance with coding guidelines, regulations, and payer requirements.
• Manage daily coding email queues providing responses within 3 business days.
• Problem-solve claim edits and support the denial process as requested.
• Uphold productivity standards / goals set by coding leaders
• Maintain coding quality accuracy rate of 95.5%
• Identify documentation issues (lacking documentation) that impact coding accuracy.
• Clearly communicate (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
• Must possess knowledge of third-party reimbursement regulations and billing practices
• Ability to examine documents for accuracy and completeness
• Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
• Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations

·Additional duties as assigned. 

• RHIA, RHIT, CPC, COC, or CCS certification required.
• Associates degree in relevant field preferred or combination of equivalent of education and experience
• Must have knowledge of AMA, CMS, and CPT coding guidelines.
• Knowledge of ICD-10-CM, medical terminology, anatomy & physiology.
• 2+ years of ASC revenue cycle or coding experience.
• Proficient in Microsoft Word, Excel
• Ability to maintain required productivity and accuracy standards.
• Excellent verbal and written communication skills.
• Ability to prioritize workload, handle competing priorities, while meeting or exceeding deadlines.