Position Summary:
The Medical Coding Specialist - Outpatient/Inpatient will be responsible for an advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10/PCS, CPT IV codes, based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes an array of inpatient and/or outpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, and Fiscal intermediary communications.
Job Details:
- Medical Coding Specialist - Outpatient/Inpatient
- Permanent work-from-home
- Monday to Friday | 11 PM to 8 AM Manila Time
- *Following US Holidays
Responsibilities:
- Review and interpret medical record documentation for the purpose of accurate coding assignment for inpatient and/or outpatient records.
- Assign correct ICD-10-CM, ICD-10/PCS, and CPT IV codes based on the analysis of medical record documentation, ensuring compliance with all relevant guidelines and regulations.
- Abstract specific data elements from each case in accordance with federal regulations.
- Maintain strict adherence to the Official Guidelines of Coding and Reporting, AHIMA Coding Ethics, AHA Coding Clinics, CMS directives and bulletins, and Fiscal intermediary communications.
- Coordinate and communicate effectively with healthcare providers and administrative staff regarding coding and documentation issues.
- Ensure consistency, accuracy, and integrity of coded data and utilize audits and data quality checks to maintain quality control.
- Continually update and maintain coding knowledge and skills by attending educational workshops, reviewing professional publications, participating in professional societies, and leveraging other opportunities for professional growth.
Qualifications:
- Current Coding Certification is required, which may include CCS, CIC, CPC, or COC (Preferred License is CPC or CCS Certification)
- Proven experience in a similar role with a deep understanding of ICD-10-CM, ICD-10/PCS, and CPT IV coding.
- Experience in multi-specialty coding.
- Exceptional attention to detail, accuracy, and the ability to maintain high levels of confidentiality.
- Strong computer skills and proficiency in using medical software, with Athena experience considered a plus.
- Excellent communication skills, with the ability to interpret and clearly explain complex coding information.
- The ability to work effectively both independently and as part of a team.