JOB SUMMARY:

The Medical Coding Specialist, Emergency Department is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the clients information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to Emergency Department accounts as per designated workflow
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements
• May assign/validate facility and/or professional level of service and injections and infusions as per facility workflow requirements
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

REQUIRED QUALIFICATIONS:

• Candidate must possess an approved AHIMA or AAPC coding credential
• Minimum 3 years coding experience required, Trauma Level 1 and Academic Teaching facility experience preferred

CORE COMPETENCIES:

• Communication
• Trustworthiness and Ethics
• Consistency and Reliability
• Meeting Standards

KEY SUCCESS ATTRIBUTES:

• Has strong organizational, analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment
• Demonstrate excellent interpersonal as well as well-developed written and verbal communication skills
• Possess strong time management skills
• Commitment and adherence to company Core Values

BENEFITS:

We offer an excellent base salary, full benefits package including 401(k), group medical, dental, vision, life, & short-term disability insurance and vacation/sick days.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.