CODING SPECIALIST III

Position Summary:

The Coding Specialist III (CS III) will use ICD and CPT and specializes in medical classification software to assign procedure and diagnosis codes.

Qualifications

Education/Certification:

• Qualified as a Coding Supervisor in one of three ways required:

  • Associate degree as a Registered Health Information Technician (RHIT) or;
  • Bachelor’s degree as a Registered Health Information Administrator (RHIA) or;
  • Certified Coding Specialist through the American Health Information Management Association (AHIMA) or another approved accredited certifying agency.

Experience

• A minimum of three (3) years’ experience using ICD-9-CM and CPT-4 in a hospital setting required.

Duties & Responsibilities:

• Review accounts to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
• If an account is denied due to incorrect coding, the CS III will conduct medical records research and report the findings to the Director of Health Information Management to determine the need for appropriate education and/or corrective action.
• Serves as an experienced and well-educated coder that will work towards serving as a department training preceptor and “go-to” individual when others need assistance.
• Provides exemplary core customer service skills.
• Work effectively and collaboratively with colleagues, physicians, and members of leadership
• Effectively utilize strong organizational skills.
• Consistently display effective verbal and written communication skills.
• Proficient understanding and use of technology/PC skills required.
• Each employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled.
• Completes other duties as assigned by department leadership.