Posted on: April 11, 2025
Department: HEALTH INFO MGT
Division: OPERATIONS
Full-time / Part-time: FT
Shift: DAYS
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Qualifications:
Education: High school diploma or equivalent required. Associates degree or
higher within an HIM related program is preferred. Will consider applicants who
are currently enrolled in good standing for an HIM college degree.
License/Certifications: CCS or CPC Required; RHIA, RHIT preferred.
Experience: Seven years experience in coding ICD-10-CM/PCS and CPT coding or
five years experience with an HIM-related associate degree or higher. One year
of experience in a leadership, supervisory, or auditing position providing
quality feedback to staff. Experience with 3M 360 and EPIC is preferred. Must
have experience with using an encoder. Masterly level experience with reading a
medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data
elements for billing and reporting, and assign DRG, APC, and APG as
appropriate.
Summary:
The medical coding specialist, senior, will be responsible for performing
coding quality audits on staff and providing thorough education and feedback to
the coders. They will be responsible for detailed reviews, projects assigned by
management, and special requests to review coding for external departments such
as quality management and CDI. They perform regularly scheduled audits as well
as random audits. Complete duties as assigned by the Quality Manager. Senior
Coder may be asked to assist with denials work, including researching and
writing appeal letters. They inform management of trends and needs for
improvement related to coding quality. They will work closely with the educator
on developing training sessions and materials and working with the denials
specialist for education and compliance. They optimize hospital reimbursement
by auditing and monitoring inpatient and outpatient records and investigating
unbilled cases: code and abstract diagnostic and procedural information from
physician documentation in the medical record using ICD-10-CM/PCS and CPT code
sets. The senior thoroughly understands the hospital inpatient and outpatient
and CBO billing and registration systems. Advises the coding staff of the
appropriate registration patient types. Senior coders assist in problem solving
processes and workgroups. This person will also be responsible for assisting in
onboarding new staff.
Salary Range: $30.00 – $54.00
Columbia Memorial Health is an Equal Opportunity/Affirmative Action Employer.
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