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+ Remote: Yes

+ Area of Interest: Patient Services

+ FTE/Hours per pay period: 1.0

+ Department: Coding- Professional Billing

+ Shift: Full time

+ Job ID: 168944

Overview

Coding Specialist I review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specif icity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modif iers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations.

Hours: Monday-Friday, standard business hours

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:

+ Expect paid time off, parental leave, 401K matching and an employee recognition program .

+ Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

+ Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

+ Assigns procedural codes according to coding conventions def ined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third- party payor policies as applicable.

+ Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Of f icial Guidelines for Coding and Reporting.

+ Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.

+ Working knowledge of modif iers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.

+ Monitor environmental conditions in order to secure protected health information.

+ Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking inf ormation on the organization’s intranet site.

+ Attend clinic/provider meetings as necessary per the Coding Supervisor and/or the Operations Coding Manager.

+ Collection and/or analysis of coding-related data for training purposes or presentation as needed.

+ Maintain compliance with Personnel, Corporate Compliance and HIPAA policies and procedures.

+ Maintain regular and consistent attendance at work.

+ Monitor environmental conditions in order to secure protected health information.

+ Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

+ Consistently research and resolve coding related denials per payor regulations.

+ Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

+ Working knowledge of modif iers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.

+ Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers.

Qualifications

+ Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT) and HCPCS codes required

+ Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified, Coding Specialist (CCS), or Certified Professional Coder (CPC) current certification status required within one year of hire

+ Knowledge of medical terminology, anatomy, and physiology

+ Strong interpersonal and communication skills

+ Ability to work as a team member

+ Knowledge of medical billing and third party reimbursement policies preferred.

+ Strong computer skills

+ Strong verbal and written communication skills