What are the responsibilities and job description for the Advanced Coding Specialist position at Opportunities?
At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times.
Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation.
Are you ready to provide a 5-star “OSSOME” experience? Apply today!
JOB SUMMARY:
The Advanced Coding Specialist operates as a member of the Coding Department within Revenue Cycle Management. The Advanced Coding Specialist is responsible for coding physician and facility services for the hospital, ASC, ED consults, hospitalist services and/or on-call, offsite services.
SCHEDULE:
Monday-Friday - 8am-4:30pm
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Examine operative reports, anesthesia records, and surgical findings to extract accurate ICD-10 CM, ICD-10-PCS, CPT, and HCPCS codes based on payer, provider, and/or location billing requirements.
• Ensures coding compliance with federal regulations, payer policies, HIPAA and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers when clarification is needed
• Validates surgical requirements are met within clinical and financial records
• Utilizes coding software, encoder and other resources provided
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency
• Maintains productivity goals set by department
• Assists with E/M coding as needed
• Other duties as assigned.
EDUCATION:
- High school diploma or equivalent required
EXPERIENCE/QUALIFICATIONS:
• High school diploma or equivalent required
• Active AAPC, CPC or AHIMA CCS certification
• Active advanced specialty certification though AAPC or AHIMA (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC)
• Minimum of 1-year hands-on surgical coding experience and facility-based billing
• Strong understanding of CPT, HCPCS Level II procedure and supply codes, Anesthesia coding, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient and outpatient hospital settings.
• Strong understanding of National Correct Coding Initiative (NCCI) edits, medical necessity requirements and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English required.
BENEFITS INCLUDE:
- Competitive Wages
- Medical, Dental, Vision available on the first day of employment
- Disability, and Life Insurance within 90 days
- Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability
- Paid Time Off (PTO)
- 401(k) plan and profit sharing
- Career Advancement Opportunities