Coding Specialist - Outpatient - Non-Exempt at Singing River Health System

Job description

At Singing River Health System, caring isn’t just part of the job — it’s in our DNA. Whether we’re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day. With pride, passion, and commitment, we will improve health and save lives in our community every day. Shift: 8:00am-4:30pm Location: Remote Mississippi Job Description Summary Job Description Position Overview: The Outpatient Coding Specialist will evaluate medical records and charges, as appropriate, to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), Healthcare Common Procedure Coding System (HCPCS), and the American Medical Association’s Current Procedural Terminology Manual (CPT). Reviews medical records to identify diagnosis codes and CPT procedures relative to the patient’s encounter. Selects the first listed diagnosis and principal procedure, along with other diagnoses and procedures using outpatient ICD-10-CM coding conventions and guidelines as well as the general and disease specific guidelines. Abstracts appropriate information from the medical record. Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record as well as querying for medical necessity. Ensure all coding complies with the ethical coding standards/guidelines and regulatory requirements. Maintains strictest confidentiality; adheres to all Health Insurance Portability and Accountability Act guidelines/regulations. The Specialist will also provide technical guidance and training on medical coding to physicians and staff. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education: High School diploma or equivalent required. Must have completed course work in medical terminology, anatomy, physiology, disease processes, ICD-9/10-Clinical Modification coding, and/or CPT coding. License: N/A Certifications: Certified (or certified within one year of employment) by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC) or National Heathcareer Association (NHA) as a: • CPC: Certified Professional Coder; • COC: Certified Outpatient Coder; • CCS-P: Certified Coding Specialist-Physician-based; • Or other equivalent coding certification. Once certified, employee must complete all requirements (including continuing education) to maintain certification. Experience: One (1) year of healthcare-related work experience or coding experience directly applying codes preferred, or the equivalent combination of expertise, education, and training that would provide the required knowledge and abilities. Reports to: Coding Manager Supervises: None Physical Demands: Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust th