This position has the possibility to work remote in the following states:
AL, FL, GA, KS, MO, MT, OK, PA, WY, CO
Minimum of five years experience coding outpatient or inpatient services
And successful completion of a coding proficiency examination required.

ESSENTIAL DUTIES PER AREA OF RESPONSIBILITY

1. Coding:
a. Ability to perform all duties of the Coding Specialist I & II Job Descriptions with
a high degree of proficiency and accuracy.
b. Reviews and analyzes medical records as assigned for complete and accurate
documentation of all relevant diagnoses and procedures.
c. Accurately assigns codes and abstracts principal diagnoses, complications,
comorbid conditions, and procedures for all payor sources on inpatient or
outpatient record types; enters data into the facility information system. Ability
to code both inpatient and outpatient accounts proficiently.
d. Provides thorough, timely, and accurate assignments of codes and ensures codes
reflect patient severity. Ensures that codes and charges are supported by medical
record documentation.
e. Consults with or queries medical providers to clarify missing or inadequate
information. Facilitates the timely completion of queries. Completes query
trending spreadsheet, trends data, and reports monthly to management.
f. Collaborates with providers to obtain a greater level of specificity documented in
the medical record and to ensure the record reflects the severity of illness and risk
and mortality.
g. Verifies abstracted hospital information fields for accuracy and completeness,
correcting as appropriate based upon information obtained from the medical record.
h. Conducts initial review of denials by agreeing or appealing coding change.
Provides appropriate documentation from required sources to assist management
when appealing an adverse determination.
i. Completes the Not Final Coded Days and Dollars spreadsheet on a daily basis.
Reports issues/concerns to the director and/or designee.
j. Ensures ethical and accurate coding in accordance with all regulatory requirements
and AHIMA Standards of Ethical Coding and AHA Coding Clinic guidelines and
advice.
k. Maintains 95% or greater accuracy in abstracting and code assignment.
l. Meets or exceeds coding established productivity standards and works as a team to
maintain Discharged Not Final Coded (DNFC) days at or below three days.
m. Performs interim billing coding.
n. Monitors coding edits and resolves issues and reports trends to the director and/or
designee.
o. Assists in training and mentoring coworkers. Reviews the quality of their coding,
identifies opportunities to improve and creates trending data in order to provide
feedback. Maintains all records and spreadsheets of audits performed and submits
to the director and/or designee.
p. Develops and runs reports, analyzes data, and prepares trending matrices.
q. Maintains coding proficiency through self-directed continuing education.
Maintains knowledge of current trends, updates, and changes in coding policy and
procedure.
r. Performs other functions and special projects assigned by the director