Coding Specialist

GENERAL DESCRIPTION OF DUTIES AND RESPONSIBILITIES:

The Coding Specialist works as part of the billing team to abstract date from patient charts based on clinical documentation. The Coding Specialist reports to the Associate Director of Revenue Integrity.

SPECIFIC DUTIES AND RESPONSIBILITIES:

1. Reviews patients’ medical records and assigns diagnoses and procedure codes according to the principals of ICD-10 CM, CPT, and HCPCS guidelines.
2. Ensures compliance with federal and state regulations.
3. Assign and sequence all codes for services rendered.
4. Abstracts pertinent data from the medical record.
5. Possess a working knowledge of applicable payer methodologies.
6. Able to determine if medical necessity was met within the patient record according to clinical documentation.
7. Ensures all codes used are current and active.
8. Report missing or incomplete documentation to provider.
9. Performs regular chart audits and coding reviews to ensure clinical documentation is accurate and precise.
10. Provides training to providers and nursing staff as appropriate.
11. Ensures confidential information gained through job performance is kept confidential.

12.Must demonstrate good internal and external customer service skills.

1. Follows supervisor’s instructions.
2. Physical attendance is an essential element of the job and necessary to perform the essential functions of this position
3. Demonstrates a personal and professional commitment to the Mission of Johnson Health Center as expressed in the Mission Statement and in the philosophy and goals of the organization.
4. Performs other duties as assigned.

OTHER FUNCTIONS

1. Employee will abide by the Code of conduct as documented in the Corporate Compliance Manual.

2. Must demonstrate a personal and professional commitment to Johnson Health Center and its mission.

3. Management may modify, add or remove any job functions as necessary, or as changing organizational needs require.

Actively demonstrates dedication and commitment to the core values of JHC:

1. Respect – We value and respect each patient, their family, ourselves and each other.

a. Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people’s differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice.

2. Integrity – We are committed to doing the right thing every time.

a. Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions.

3. Excellence – We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation and efficiencies.

a. At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement.

4. Innovation – We value creativity, flexibility and continuous improvement efforts.

a. We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures.

5. Teamwork – We understand that teamwork is the essence of our ability to succeed.

a. We work across functional boundaries, embracing diversity, for the good of the organization. Our collaborative approach ensures a culture of participation, learning and respect and serves to improve the quality of patient care. By focusing on a team based approach, the expertise of each Johnson Health Center employee is leveraged to optimize the patient experience.

REPORTING RELATIONSHIPS:

The Coding Analyst reports directly to the Associate Director of Revenue Integrity.

EVALUATION:

The Coding Specialist’s work performance will be evaluated annually by the Associate Director of Revenue Integrity.

QUALIFICATIONS:

1. High School diploma or equivalent. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.

2. Two to five years’ previous coding experience required.

3. Must be self-motivated with well-developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions.

4. Must possess strong communication skills; works well with external organizations and employees.

STATUS:

This position is a FLSA Non-Exempt position.

This is an OSHA low risk position.

This is an ADA negotiable position.