Hospital Coding Specialist I (Remote)

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Job Title:

Hospital Coding Specialist I (Remote)

Cost Center:

101651098 System Support-Facility Coding

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; day shifts (United States of America)

Job Description:

JOB SUMMARY

The Hospital Coding Specialist I reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes for billing, internal and external reporting, research and regulatory compliance activities. This individual will accurately code outpatient conditions and procedures as documented in the medical record and applying the ICD Official Guidelines for Coding and Reporting.  The Hospital Coding Specialist I provides charge validation and capture processes for various patient types to include the following outpatient visit:

• Diagnostic
• Therapeutic
• Emergency department services, may include charge capture
• Ambulatory surgery (same day surgery), may include charge capture
• Observation service encounters
• Urgent care, may include charge capture
• Recurring/series patients
• Other ancillary services

JOB QUALIFICATIONS

EDUCATION

The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview.  Please consider when listing minimum qualifications. 

Minimum Required:  

• Successful completion of a Coding Degree or Diploma program, or current enrollment in program

Preferred/Optional: None

EXPERIENCE 

Minimum Required: One year coding and reimbursement experience in a multi-specialty clinic/hospital setting, or completion of coding degree or diploma will be considered in addition to the following:

• Knowledge of medical terminology, anatomy and physiology, pharmacology, disease process, and surgical procedures
• Knowledge of accepted medical abbreviations and their meanings
• Knowledge in the use of specialized references such as the ICD and CPT-4 books, medical dictionaries and texts, and medical journals
• Must have extensive knowledge of Coding Clinic, CPT Assistant and all official coding guidelines
• Advanced knowledge of hospital information systems, encoders and other technology to facilitate a successful work environment while maintaining maximum communication and adhering to HIPAA security standards
• Advanced knowledge Microsoft Outlook, Excel and Word functions
• Technical skills required to learn and navigate a variety of software systems and trouble shoot computer problems
• Strong written and verbal communication skills
• Ability to think and work independently, yet interact positively with team
• Advanced problem solving skills
• Attention to detail is crucial to this position

​Preferred/Optional: Experience with electronic health record systems.

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. 

Minimum Required: AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management) credential (i.e. CCS, CCS-P, RHIT, RHIA, CCA, CPC, CPC-H, COC) within one year of hire.

Preferred/Optional: AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management) credential (i.e. CCS, CCS-P, RHIT, RHIA, CCA, CPC, CPC-H, COC) at time of hire.

Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:​

Alabama

Arkansas

Florida

Georgia

Idaho

Illinois (except Chicago; limitations in other counties)

Indiana

Iowa

Kansas

Kentucky

Michigan

Minnesota (limitations in some counties)

Mississippi

Missouri

Nebraska

North Carolina

North Dakota

Oklahoma

South Carolina

South Dakota

Tennessee

Texas

Utah

Wisconsin

Wyoming

Marshfield Clinic Health System will not employ individuals living in states