Clinic Coding Specialist

Company is looking to hire a telecommute Clinic Coding Specialist to work under the direction supervision of the Coding Operations Manager.  The coding specialist accurately determines CPT and ICD-9 codes for all procedures/diagnoses for inpatient, outpatient and emergency records and transcription. S/he ensures that all coding assignments are accurate according to coding policies and the documentation provided in the medical chart components. The medical record components may include the following: transcribed records, nursing notes and flow sheets, clinical records, face sheets, and test results as appropriate.

Candidate will be responsible for the following:
-Maintains thorough knowledge of coding policies and procedures, medical terminology/technology, and any computer software utilized to perform the coding services
-Responsible for producing various monthly reports and may provide documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel
-Actively promote the corporate goals and vision and represent the company, its products and services, and its personnel professionally at all times
-Must comply with all company regulations and do his/her part to maintain a positive, supportive and productive working environment


Candidate must possess the following abilities:
-Adheres to and maintains required levels of performance in both coding accuracy and productivity. (Please see quality management procedure for specific accuracy standards and compliance requirements.)
-Identifies appropriate assignment of CPT and ICD-9 codes for physician and facility services provided in the emergency department setting, observation service setting, urgent care setting, and/or inpatient setting. Additional data elements may require to be gathered during the chart review process.
-Maintains a thorough understanding of assigned client coding specifics. Performs coding duties as appropriate for each site according to pre-determined schedules.
-Reviews and maintains records of charts coded, held, and/or missing. Provides documentation feedback to providers as appropriate.
-Submits, faxes, or via modem forwards charges or charge documents to the appropriate site department. Batches Professional and/or Facility charge documents, if appropriate, for site.
-Provides both monthly distribution statistics and Activity Report forms for each site coded.
-Maintains up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, Director of Coding/Quality Management and VP of Coding/Quality Management, among others. Participates in coding department meetings and educational events.
- Identifies promptly to appropriate supervisor questions or concerns that arise. Communicates to supervisor and documents interactions with staff, department supervisors, and medical director for a particular site.
-Participates in peer coding audits and forwards charts as requested to Quality Management for review. Incorporates quality assurance information and feedback into coding process.
-Identifies coding methods needing improvement and makes recommendations when appropriate.
-Assists with emergency physician quality assurance audits when necessary.
-Presents a positive image/demeanor and demonstrates a superior customer service orientation when interacting with clients, vendors, managers and co-workers. Understands that while working on-site or visiting client locations s/he is representing the company. Promotes and supports the corporation, its products/services, and its affiliates (employees, contractors, and agents) at all times.
-Maintains strict confidentiality with patient, client, company and employee data.
-Adheres to commitment to abide by Federal and State laws and regulations relating to billing, coding, referral relationships, and other areas of potential fraud and abuse risk. Agrees to abide by company work rules, policies, and procedures, as well as the corporation's Compliance Plan and its Code of Conduct. Participates in initial and ongoing training sessions covering compliance policies and reporting expectations as a condition of continued employment. (NOTE: failure to adhere to standards of conduct, policies, or procedures will result in disciplinary action ranging from written warning or reprimand up to and including termination of employment.)


Candidate must possess the following experience:
-Coding credential required (RHIA, RHIT, CCS, CPC); will also consider RN or LPN with coding experience. Previous production coding experience required for site and home-based positions. May consider credentialed coders without production coding background for in-office positions, if their background includes other relevant clinical industry experience. Thorough knowledge of CPT and ICD-9 coding. Clinical ED experience preferred or, at a minimum, knowledge of disease processes treated in ED
-This position may interact with all levels of personnel, including regular physician/client contact. Relationships with clients and colleagues must be kept at a professional level at all times.
-Heavy computer, keyboard and CRT use.
-Desire for a high degree of accuracy.
-Ability to deal with and maintain confidential material
-Good interpersonal and interpretation skills
-Able to problem solve in a timely, accurate and professional manner
-Show an interest in healthcare data and computer applications
-Detail oriented with high aptitude for accuracy; able to take direction and ask questions appropriately.
-Must be proactive, able to communicate effectively, both verbally and in writing.

Location: Telecommute
Compensation: TBD

Employer Posted:Wednesday, November 04, 2009