coding Specialist II

Bryan Medical Center Lincoln, NE
Job Details

GENERAL SUMMARY:

The Coding Specialist II thoroughly studies the clinical content of the inpatient, outpatient, and emergency medical records and assigns appropriate ICD-9-CM codes to diagnosis and CPT and HCPCS codes to all procedures or physician services for optimal reimbursement.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Studies and analyzes the clinical content of a medical record.

3. *Assigns and sequences diagnosis and procedure codes appropriately to arrive at the correct DRG or APC assignment.

4. *Enters coding information into the computer system for reimbursement use by Patient Financial Services for submitting patient's bills.

5. *Maintains a thorough and updated knowledge of Clinical Coding Guidelines, Fiscal Intermediary directives, Coding Compliance standards and Local Medical Review Policies.

6. *Instructs other hospital personnel on appropriate medical necessity needed for coding accurately.

7. *Maintains strict confidentiality regarding patient information.

8. *Works as a team member to ensure all coding is accurate and meets turnaround standards.

EDUCATION AND EXPERIENCE:

High school diploma or equivalency required. Class work in ICD9CM and CPT Coding procedures required. Certified Coding Associate (CCA) required. Certification as a Certified Coding Specialist (CCS or CCS-P) or Certified Professional Coder (CPC) preferred. Minimum of one (1) year coding experience in a medical environment required.

OTHER CREDENTIALS / CERTIFICATIONS:

None