Coding Specialist (remote position)

About the role

It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role: The Corporate Coding Specialist performs coding and abstracting for all Chapters Health System (CHS) service lines. The Coding Specialist analyzes and interprets the documentation in the medical record and abstracts the data elements into the electronic medical record utilizing ICD-10-CM and CPT-4 coding systems.

Qualifications

High School diploma or GED or an equivalent combination of work experience and education Minimum of three (3) years of acute care, home health, physician or ancillary coding experience Successful completion of a credentialed coding certificate program and has received one or more of the following credentials: CCS, CCS-P, CPC, or HCS-D Knowledge of ICD-10-CM and CPT with a familiarity of the Official Guidelines for Coding and Reporting and the Evaluation and Management Documentation Guidelines Knowledge of: medical terminology, anatomy and physiology, pathophysiology, AHA Coding Clinic, AMA CPT Assistant, and Coding Clinic for HCPCS Knowledge of clinical documentation improvement and its importance as it relates to coding accuracy Familiarity with encoder technology including Computer Assisted Coding, and abstracting system along with electronic medical record (EMR) Excellent organizational skills with attention to detail Ability to communicate professionally and effectively Extensive knowledge of computer technology in order to efficiently complete daily work responsibilities Ability to work with a team Demonstrate a willingness to ensure the productivity and coding accuracy rate is met Competencies: Must satisfactorily complete competency requirements for this position.

Responsibilities of all employees: Represent the Company professionally at all times through care delivered and/or services provided to all clients Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse Comply with Company policies, procedures and standard practices Observe the Company's health, safety and security practices Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.

Use resources in a fiscally responsible manner Promote the Company through participation in community and professional organizations Participate proactively in improving performance at the organizational, departmental and individual levels Improve own professional knowledge and skill level Advance electronic media skills Support Company research and educational activities Share expertise with co-workers both formally and informally Participate in Quality Assessment Performance Improvement activities as appropriate for the position

Job Responsibilities

Analyzes and interprets information in the medical record and assigns the correct code(s) utilizing ICD-10-CM and or CPT-4 classification system to the diagnoses/procedures of medical records according to the coding guidelines. Abstracts all necessary information from medical records to identify the diagnosis and any related complications and co-existing conditions.

Reviews medical staff documentation and assigns appropriate procedure codes including evaluation and management services. Reviews clinical documentation to ensure valid ICD-10-CM codes are assigned. Implements CHS physician query process when code assignments are not straight forward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.

Maintains a 95% coding accuracy rate as set by organization. Communicates with medical staff as needed to clarify documentation for appropriate code assignment. Evaluates medical record documentation in order to ensure the appropriate diagnoses and CPT codes are assigned to accurately reflect and support the visit, and to ensure that the information complies with regulatory standards and guidelines.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) adhering to the official coding guidelines. Maintains knowledge of current coding guidelines and obtains continuing education units to maintain coding credentials.

Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule. Performs other duties as assigned.