The Role
Code ED, recurring, and ancillary accounts using ICD-10-CM/PCS and CPT-4; verify charges meet OCE and NCCI edits; ensure coding accuracy, specificity, and modifiers; query physicians for documentation clarification; validate medical necessity for Medicare; use encoders/CAC/EHRs; participate in quality improvement and follow AHIMA ethical coding standards.
Summary Generated by Built In
Day (United States of America)Coding Specialist IThe Coding Specialist I is responsible for the coding of ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. This position is also responsible for verifying all ED and ancillary department charges, ensuring they meet all OCE and NCCI edits. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers. - Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS
- Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
- RHIT, CCS, CCSP, CPC or equivalent certifications required
- Knowledge of Local Coverage Determinations and National Coverage Determinations
- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
- The ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- The ability to maintain confidentiality, knowledge of HIPAA laws
- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Experience with Encoders, CAC, EHRs and general computer skills.
- Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
- Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
- Query attending physicians for documentation and diagnostic clarification
- Validate medical necessity for all Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI edits
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines
- Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
- RHIT, CCS, CCSP, CPC or equivalent certifications required
- Knowledge of Local Coverage Determinations and National Coverage Determinations
- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
- The ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- The ability to maintain confidentiality, knowledge of HIPAA laws
- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Experience with Encoders, CAC, EHRs and general computer skills.
- Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
- Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
- Query attending physicians for documentation and diagnostic clarification
- Validate medical necessity for all Medicare patients and verify all ancillary and department charges, ensuring they meet OCE and NCCI edits
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines
Skills Required
- Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS
- Minimum 1 year ED/Ancillary coding or charging in an acute care setting
- RHIT, CCS, CCSP, CPC or equivalent certifications
- Knowledge of Local Coverage Determinations and National Coverage Determinations
- Professional interpersonal communication skills with physicians, colleagues, and ancillary departments
- Ability to organize, prioritize, analyze, implement daily tasks and work with minimal supervision
- Ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- Ability to maintain confidentiality and knowledge of HIPAA laws
- ICD-10-CM and ICD-10-PCS trained with an accuracy rating of 95%
- Experience with Encoders, CAC, EHRs and general computer skills
- Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
- Review medical record documentation for appropriate code assignment including principal diagnosis, co-morbidities, complications, secondary conditions and procedures
- Query attending physicians for documentation and diagnostic clarification
- Validate medical necessity for Medicare patients and verify ancillary and department charges meet OCE and NCCI edits
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines
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The Company
What We Do
Halifax Health is a community healthcare leader serving residents and visitors in Volusia and Flagler counties, Florida, for over 95 years. It operates a system of hospitals and professional centers, including a tertiary hospital, community hospital, freestanding emergency departments, and specialized psychiatric and cancer treatment services. The organization is dedicated to providing exemplary, patient-centered medical, emotional, and spiritual care throughout East Central Florida.
