Title: Clinical Coding Specialist
Department: Health Information Management
Reports to: Health Information Management Director
Job Summary: Responsible for coding all clinical records including IP/OBS/OPS/ED/OP/OT/PT/ST; to provide a quality record, coded, keyed and billed in an accurate and timely manner. Verifies all orders for compliance and medical necessity. Verifies documentation as to treatment and supplies/services charged. Compiles statistical data for PI/Training/Education/Reporting purposes.
Education: Graduate or student from an accredited program for Health Information Management or coding certification preferred. Must provide validation of coding course completion. RHIT/CCS preferred.
Experience/Licensure/Certification: Coding certification preferred. Graduate or student from an accredited program for Health Information Management. Student must provide validation of coding course completion.
Skills: Ability to work in an individual setting. Ability to work well with medical record documentation. Computer skills are a must.
Physical/Mental Demands: Office setting. Must be able to sit for long periods at a computer workstation. Must be able to concentrate on tasks, perform work without direct supervision for the scheduled work shift.
Working Conditions: Moderate amount of sitting, walking, bending and working at computer monitor screen. Ability to deal with stressful situations and frequent work interruptions.
Complexity: Must extract substance from complex coding systems. Ability to follow standard practices in coding/reimbursement. Demonstrate the knowledge of optimization of coding for reimbursement. Demonstrate knowledge and understanding of JCAHO, STATE, Federal Record Completion Standards and HIPAA Confidentiality Regulations.
Principle Contacts: Physicians, nursing personnel, administration, and health information team members, and other departments within Rhea Medical Center.
DRUG FREE WORKPLACE -“all positions/ applicants require drug testing as a condition of employment”