42 Coding Specialist II Jobs in Chicago, IL
Insight is Hiring a Coding Specialist II Near Chicago, IL
These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests.
- Assigns appropriate code(s) by utilizing coding guidelines established by:
- The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
- American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
- American Medical Association (AMA) CPT Assistant for CPT codes
- American Health Information Management Association (AHIMA) Standards of Ethical Coding
- Insight Hospital coding policies
- Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions.
- Adheres to Insight Hospital confidentiality requirements as they relate to the release of any individual or aggregate patient information.
- Proficiently navigates the patient health record and other computer systems/sources in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment.
- Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers.
- Consults reference materials to facilitate code assignment.
- Understands appropriate link of diagnosis to procedure.
- Appends modifier(s) to procedure code or service when applicable.
- Collaborates with HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement.
- Interprets bundling and unbundling guidelines (NCCI).
- Interprets LCDs/NCDs and payer policies.
- Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion.
- Investigates claims denials and/or appeals as directed.
- Consistently meets or exceeds coding quality and productivity standards.
- Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
- Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate.
- Performs other duties as assigned by Leadership.
- Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
- Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or related healthcare field is preferred.
- Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required.
- Two years of current acute care coding emergency department and observation or physician coding experience is required.
- Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
- Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools is desirable.
- Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives.
- Ability to work with minimal supervision and exercise independent judgment.
- Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload.
- Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills.
- Must be comfortable functioning in a virtual, collaborative, shared leadership environment.
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight-Chicago.
- Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
- Must possess the ability to comply with Insight Hospital policies and procedures.
- Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard.
- Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
- Must be able to work with interruptions and perform detailed tasks.
- If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.
- Must be able to travel to Insight Hospital (10%) as applicable.
- If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.
Job Summary
Full Time
Business Services
$61k-80k (estimate)
05/07/2023
06/03/2024
insight.com
CHARLOTTE, NC
7,500 - 15,000
1988
Public
JEFF LONGO
$5B - $10B
Business Services
Related Companies
About Insight
Insight is a provider of computer hardware, software, cloud solutions and IT services to business, government, education and healthcare sectors.
The job skills required for Coding Specialist II include CPT, Health Information Management, Acute Care, Confidentiality, Customer Service, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Coding Specialist II. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Coding Specialist II. Select any job title you are interested in and start to search job requirements.
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