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Job Title:

Hospital Coding Specialist I (Remote)

Cost Center:

101651098 System Support-Facility Coding

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; day shifts (United States of America)

Job Description:

JOB SUMMARY

The Hospital Coding Specialist I reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes for billing, internal and external reporting, research and regulatory compliance activities. This individual accurately codes outpatient conditions and procedures as documented in the medical record and applying the ICD Official Guidelines for Coding and Reporting. The Hospital Coding Specialist I provides charge validation and capture processes for various patient types to include the following outpatient visit:

+ Diagnostic

+ Therapeutic

+ Emergency department services, may include charge capture

+ Ambulatory surgery (same day surgery), may include charge capture

+ Observation service encounters

+ Urgent care, may include charge capture

+ Recurring/series patients

+ Other ancillary services

JOB QUALIFICATIONS

EDUCATION

_For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation._

Minimum Required:

+ Successful completion of a coding degree or diploma program, or current enrollment in program

**Preferred/Optiona** l: None

EXPERIENCE

**Minimum Required:** One year coding and reimbursement experience in a multi-specialty clinic/hospital setting -OR- completion of coding degree or diploma will be considered in addition to the following:

+ Knowledge of medical terminology, anatomy and physiology, pharmacology, disease process, and surgical procedures

+ Knowledge of accepted medical abbreviations and their meanings

+ Knowledge in the use of specialized references such as the ICD and CPT-4 books, medical dictionaries and texts, and medical journals

+ Must have extensive knowledge of Coding Clinic, CPT Assistant and all official coding guidelines

+ Advanced knowledge of hospital information systems, encoders and other technology to facilitate a successful work environment while maintaining maximum communication and adhering to HIPAA security standards

+ Advanced knowledge Microsoft Outlook, Excel and Word functions

+ Technical skills required to learn and navigate a variety of software systems and trouble shoot computer problems

+ Strong written and verbal communication skills

+ Ability to think and work independently, yet interact positively with team

+ Advanced problem solving skills

+ Attention to detail is crucial to this position

**Preferred/Optional:** Experience with electronic health record systems.

CERTIFICATIONS/LICENSES

_The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._

**Minimum Required:** AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) credential (i.e. CCS, CCS-P, RHIT, RHIA, CCA, CPC, CPC-H, COC) within one year of hire.

**Preferred/Optional:** AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) credential (i.e. CCS, CCS-P, RHIT, RHIA, CCA, CPC, CPC-H, COC) at time of hire.

Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:​

Alabama _(limitations in some counties)_

Arizona _(limitations in some counties)_

Arkansas

Colorado _(limitations in some counties)_

Florida

Georgia

Idaho

Illinois _(limitations in some counties)_

Indiana

Iowa

Kansas

Kentucky _(limitations in some counties)_

Louisiana

Maine _(limitations in some counties)_

Michigan

Minnesota _(limitations in some counties)_

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire _(limitations in some counties)_

North Carolina

North Dakota

Ohio

Oklahoma

Oregon _(limitations in some counties)_

Pennsylvania _(limitations in some counties)_

South Carolina

South Dakota

Tennessee

Texas _(limitations in some counties)_

Utah

Virginia

Wisconsin

Wyoming

Marshfield Clinic Health System will not employ individuals living in states not listed above.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.

Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.