Responsible for communicating with providers if their documentation does not support the billing code they selected.
Position Purpose:
Responsible for reviewing documentation, assigning accurate CPT and diagnosis codes, and entering codes into EHR and/or Cerner coding abstract and/or 3M Arms. Sources of documentation may include office services, nursing home visits, inpatient, ER, outpatient hospital visits, and lab requisitions. The clinic coding specialist will also be responsible for communicating with providers if their documentation does not support the billing code they selected.
What You Will Do:
Interprets provider service documentation and verifies the selected CPT-4 codes and diagnosis codes for the encounter. Communicates with service provider if there is a discrepancy between the documentation and the code selection.
Assures codes reported to the claim are supported in the medical record documentation for the services selected for "audit" or "review."
Works with the Coding Supervisor and /or Clinic Coding Auditor/Educator to resolve any on-going issues with provider documentation or reactions to feedback and education.
Monitors effectiveness of educational efforts through changed documentation or coding patterns
Maintains current knowledge regarding CPT-4 and diagnosis coding and is responsible for understanding changes that occur.
Interacts regularly with providers, clinical staff, patient registration and laboratory staff regarding specific documentation relating to coding requirements, questions, and concerns.
Notifies Coding Supervisor or Clinic Coding Auditor regarding special education needs for providers or staff.
Maintains productivity standard. Is responsible for reaching out to Coding Supervisor for support if coding is not current.
Maintains current knowledge of third-party payers guidelines in order to effectively and accurately capture revenue.
Hours:
Fulltime / Monday - Friday / No weekends or Holidays
Minimum Qualifications:
Education:
High school diploma or equivalent requiredPost high school education is preferredCollege coursework in medical terminology is requiredCollege coursework in Anatomy and Physiology and coding is highly desiredCurrent coding certification requiredCertified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC). Will consider other credentials.What we offer:
Education Assistance offered.
Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater
Competitive wages; including weekend and night differentials
Generous paid time off program
Retirement Savings program with employer match starting on Day 1
All offers are contingent upon the successful completion of references, background checks, pre-employment physical, drug screen and post offer exam.
EEO Employer F/M/Veteran/Disabled
In compliance with the ADA Amendments Act (ADAAA), VEVRAA, and Section 503, should you have a disability and would like to request an accommodation in order to apply for a currently open position with MercyOne North Iowa Medical Center, please call Human Resources at (641) 428-7287 or email us at mc01hrrecruitment@mercyhealth.com
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.