The Senior Coding Specialist accurately codes inpatient, observation, and outpatient surgery visits using ICD-9-CM and CPT classification systems. They ensure proper DRG assignment and complete diagnosis and procedure coding abstracts while complying with federal, state, and accreditation regulations such as HIPAA and JCAHO. The role requires extensive healthcare coding experience and certification, along with proficiency in coding software and Microsoft Office.
POSITION SUMMARY/RESPONSIBILITIES
Works under the direct supervision of the Coding and Reimbursement Manager, Health Information Management. Codes Inpatient, Observations and Outpatient Surgery visits utilizing the ICD-9-CM and CPT coding classification systems. Ensures proper DRG assignment and completion of a Diagnosis and Procedure Coding Abstract in all cases. Promotes the Health System's guest relations policy. Complies with all Federal and State Regulations and accrediting bodies, including but not limited to HIPAA and JCAHO.
EDUCATION/EXPERIENCE
A high school diploma or its equivalent is required. Must have at least 10 years of coding experience in a health care setting plus successful completion of a Certified Coding Program or Health Information Management Program. In addition, candidates must possess one of the following certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator, (RHIA) or Certified Coding Specialist (CCS). Must be knowledgeable of regulatory requirements. Must be knowledgeable of Microsoft Office products as well as 3M Encoding and Grouping software.
LICENSURE/CERTIFICATION
Must maintain a valid credential offered by: American Health Information Management Association.
medical coding, ICD-9-CM, CPT coding, DRG assignment, health information management, HIPAA compliance, JCAHO regulations, Certified Coding Specialist, RHIT, healthcare data
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