Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY The Coding Specialist will review clinical documentation to assign and sequence diagnostic and procedural codes for Facility Inpatient and Outpatient records to meet the needs of hospital data retrieval for billing and reimbursement. Coder validates MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory compliance requirements. Coder may interact with client staff and providers. JOB ACCOUNTABILITIES Select and sequence ICD-10 CM, CPT and PCS codes for designated patient types which may include but is not limited to: Acute Facility Inpatient and Outpatient. Outpatient to include at least one of the following: Emergency Department or Same Day Surgeries. Review and analyze clinical records to ensure that MS-DRG assignments accurately reflect the diagnoses/procedures documented in the clinical record. Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. Maintain strict patient and provider confidentiality in compliance with HIPPA Participate in client and staff meetings, trainings, and conference calls as requested and/or required. Maintain current working knowledge of ICD-10 CM, CPT and PCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing. Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials. Support Savista’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information. Performs other related duties as assigned or requested. QUALIFICATIONS Required: Candidates must successfully pass pre-employment skills assessment. An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. Two (2) years of recent and relevant hands-on coding experience with all record types: Acute Inpatient and Emergency Department or Same Day Surgeries. Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 CM, CPT & PCS code sets. Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Savista production and/or quality standards Proficient computer knowledge including basic MS Office knowledge. Basic MS Office knowledge includes data entry, sort, filter, copy, paste and password protect functions in Excel and/or Word programs. Basic MS Outlook knowledge is opening and responding to emails and accepting and scheduling meetings using the Outlook calendar. Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers Preferred: Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience Recent and relevant experience in an active production coding environment strongly preferred Experience with multiple Electronic Medical Record software applications including but not limited to EPIC, Cerner and Meditech. Experience with multiple Encoder software applications including but not limited to 3M, 3M360 and TruCode. SUPERVISED LEVEL: No supervisory duties SKILLS Equipment Proficient use of basic office equipment including internet and cellular telephone Language and Reasoning Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures and/or governmental regulations. Ability to write basic business correspondence. Ability to apply common sense and basic logic skills to carry out instructions furnished in written, oral or diagram form. Mathematical Basic mathematical abilities including but not limited to addition, subtraction, multiplication and division using whole numbers, common fractions and decimals. The ability to, compute rate, ratio and percent. Physical Demands Ability to read and write English language - Always Fingers: Gross repetitive movements - Always Handling: Seizing, holding, grasping and turning – Often Hearing: Ordinary Conversation – Frequently Neck up/down movement – Often Lifting: Objects up to 25 pounds - Often Reaching – Often Sitting – Always Vision: Acuity near/clarity at 20 inches or less – Always Inside – Always Ability to travel via regular methods of transportation - Always The above statements are intended to describe the general nature and level of work performed by colleagues in this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of colleagues assigned to this job. Other functions may be assigned, and management retains the right to add/change or amend this job description at any time. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.