Coding Specialist II

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Great care starts with great people. (Like you.)

At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

Job Summary
Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types for data retrieval, billing, and reimbursement. Must be able to code at least two outpatient visit types or possess at least 2 years of IP coding experience or comparable clinical experience. DRG and APC assignment analysis to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. Assist management with assigned special projects which may include training and education.
Essential Functions

• Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types which may include inpatient, observation, ambulatory and emergency room records for billing and reimbursement. Review CDI notes in Midas to ensure consistent coding.
• Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record.
• Abstract clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted. Communicate with Medical Staff as appropriate to clarify documentation issues for accurate coding.
• Assist Patient Financial Services with interpretation and selection of appropriate ICD or CPT codes and /or other information requested for accurate billing and reimbursement. Possess knowledge and understanding of failed bill parameters.
• Review and ensure accurate procedure charge capture for Emergency and Observation visit types.
• Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
• Participates in continuing education activities to enhance knowledge, skills and keep credentials current.

Education

• Associate's degree BA/AA degree, CCS, RHIT, CPC, RHIA, COC, or CEMC certification - Preferred
• Other CCS, RHIT, CPC or RHIA certification - Required

Experience

• 2 to 3 years inpatient coding experience or the ability to code at least two of the following patient types: same day surgery, observation, emergency room. - Required
• 3 to 5 years hospital-based coding experience using 3M encoder software - Preferred

Licenses and Certifications

• Non-Clinical\CCS - Certified Coding Specialist Certified Coding Specialist OR CPC - Required
• Non-Clinical\RHIA - Registered Health Information Administrator Registered Health Information Administrator - Required
• Non-Clinical\RHIT - Registered Health Information Technician Registered Health Information Technician OR - Required

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