Coding Specialist I

Job Summary:  To perform diversified coding of clinic encounters to accurately reflect the services provided in the clinic setting, using ICD-10-CM and CPT coding conventions including application of Evaluation & Management guidelines, and appropriate modifier usage. Performs abstract coding functions for each encounter coded by reviewing to validate the documentation supports the codes submitted on claims. Maintain  a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/CPT coding guidelines to professional fee billed encounters.  

Qualifications:  Education and formal training:  High school graduate/diploma required.  Training in ICD-10 and CPT coding conventions.  Applicants must be eligible for a qualifying certification but has not taken an exam, or has taken and passed an exam but has less than 2 years of experience.  Qualifying certifications for this position include those offered by AAPC or AHIMA including CPC, RHIA, RHIT, CCS, CCS-P or CPC-A.  Individuals hired in this position will be moved to a Coding Specialist II position after obtaining 2 years’ experience.  Excellent verbal and written communication skills.  Must be able to maintain the highest level of confidentiality of sensitive information. Must have knowledge of Medicare, Medicaid and other payer requirements related to coding and billing claims for services rendered.  Excellent verbal and written communication skills. .  Must be able to maintain the highest level of confidentiality of sensitive information. Familiar with coding software preferred.