CERTIFIED CODING SPECIALIST
DEFINITION:
The Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines.
REGULATORY REQUIREMENTS (IF APPLICABLE):
Registered Health Information Administrator (RHIA) or;
Registered Health Information Technician (RHIT) or;
Certified Coding Specialist (CCS) through AHIMA.
PREFERRED QUALIFICATIONS:
RHIA, RHIT or CCS with at least one (1) year of coding experience or equivalent clinical/educational experience is preferred
Working knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain.
Working knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain.
Demonstrates critical thinking skills, communication verbal and written, mathematical and analytical skills and have a professional presentation, ability to work independently, set priorities and manage work accurately and timely.
Basic Medical Terminology knowledge.
Basic computer skills and proficient in Microsoft Office products (Excel, Word, etc)
Must be able to maintain confidential information.
Graduate of an AHIMA accredited Health Information Management Program or completion of Basic ICD-10-CM coding vocational program.
NON-CERTIFIED CODING SPECIALIST
DEFINITION:
The Non-Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Non-Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines.
PREFERRED QUALIFICATIONS:
Completion of Basic ICD-10-CM coding vocational program with at least one (1) year of coding experience preferred or equivalent clinical/educational experience is preferred or at least 7 years of on the job coding experience.
Completion of High School or equivalent
Working knowledge of ICD-10-CM coding principles and guidelines or willingness to obtain. Working knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain.
Demonstrates critical thinking skills, communication verbal and written, mathematical and analytical skills and have a professional presentation, ability to work independently, set priorities and manage work accurately and timely.
Basic Medical Terminology knowledge
Basic computer skills and proficient in Microsoft Office products (Excel, Word, etc)
Must be able to maintain confidential information.
