Coding Specialist I

Role Overview

The Coding Specialist I is responsible for coding ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. This position requires a minimum of 2 years of college coding course and 1 year of ED/Ancillary coding experience.

What You Will Do

Review medical record information, query attending physicians, validate medical necessity, and verify charges to ensure accuracy and compliance with OCE and NCCI edits.

Why It Might Be a Fit

This role requires strong analytical and critical thinking skills, problem-solving ability, and excellent organizational skills. The ideal candidate will have certifications such as RHIT, CCS, CCSP, or CPC, and experience with Encoders, CAC, EHRs, and computer skills.

Requirements

• Minimum 2 year college coding course
• Minimum 1 year ED/Ancillary coding or charging experience
• RHIT, CCS, CCSP, CPC or equivalent certifications
• Knowledge of Local Coverage Determinations and National Coverage Determinations
• Professionalism in interpersonal communication skills
• Ability to organize, prioritize, and analyze tasks
• Problem solving, analytical and critical thinking skills
• Ability to maintain confidentiality and knowledge of HIPAA laws
• ICD-10-CM and ICD-10 PCS training with 95% accuracy rating
• Experience with Encoders, CAC, EHRs, and computer skills