Certified Coding Specialist I

RemoteRemoteFull TimeEntry-level (exp-based)Posted 1 month agoVisa sponsorship availableHidden Gem · Himalayas

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Required skills

ICD-10-CM
CPT-4
Medicare
Medicaid
physician documentation
ambulatory surgery
special procedure
observation
emergency department
outpatient ancillary

Nice to have

RHIA
RHIT
health insurance processing

Role summary

The Certified Coding Specialist I, working remotely in Texas, is responsible for accurately assigning ICD-10-CM and CPT codes based on physician documentation for various medical records, including ambulatory surgery, emergency department, and clinic visits. This role requires a strong understanding of coding sets, Medicare/Medicaid rules, medical terminology, anatomy, and EMR applications. The specialist will communicate with providers regarding documentation and maintain up-to-date knowledge of coding guidelines. A high school diploma and a CCS or CPC certification are required, with RHIA or RHIT preferred, along with at least one year of current coding experience.

Location:

Remote - TX

Department:

Administration

Shift:

First Shift (United States of America)

Standard Weekly Hours:

Summary:

The Certified Coding Specialist I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes a mixture of different types of Evaluation & Management medical records and assists with coding outpatient ancillary clinic, specialty clinic, surgical and emergency room record coding as necessary. Communicates with physicians and other providers regarding documentation requirements and collaborates with different departments on an as needed basis. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education & Experience:

High School Diploma

Required: CCS or CPC

Preferred: RHIA or RHIT (1) year current and continuous full-time ICD-10-CM & CPT-4 evaluation & management coding.

Knowledge of medical terminology, anatomy and physiology and the disease process.

Ability to work well independently and productively with minimal guidance and supervision.

Detail-oriented, organized and flexible with exceptional interpersonal and communication skills.

Demonstrates coding skills and critical thinking skills utilizing current policies and procedures.

Knowledge of health insurance processing.

Skilled with electronic medical record applications, automated encoders, and other software applications.

About Cook Children’s:
Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.
At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible.
Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.
Originally posted on Himalayas

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