Coding Specialist - Certified (Full time: Monday - Friday, Days (Remote option)

Position Summary This position is responsible for application of the appropriate diagnostic and procedural codes to individual patient medical records for data retrieval, analysis and claims processing. The responsibilities include, but are not limited to: abstracts pertinent information from patient records into the computer system, assigns CPT, ICD or HCPCS codes. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Keeps abreast of coding guidelines and reimbursement reporting requirements. Responsible for daily charge reconciliation. Investigates and corrects denied claims. Periodically runs cost analysis on various CPT codes. Brings identified concerns to the supervisor or department director for resolution.

Licenses/Certifications Required CPC, RHIT or equivalent certification required.

Specific Educational and Skill Competencies Required Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. This position functions according to the WRMC HIPAA guidelines. Prefer minimum of two years’ experience as a coder or strong training background in coding and reimbursement within a clinic setting.