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Position Summary

• Reviews provider documentation and revises and/or assigns ICD-10-CM codes

and CPT/HCPCS codes as appropriate, based on official coding guidelines.

Researches and takes appropriate action on any coding/claim edits.

• Coding focus is provider based E&M level visits or outpatient hospital based

ancillary visits

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration,

Stewardship, Accountability, Quality

Education

• High School Diploma required. Preferred Associate or Bachelor Degree in

Health Information or a healthcare related discipline.

Licenses and Certification

• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.

Experience and Skills

• Technical Experience:

o Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working

hours).

Role Specific Responsibilities

1. Follows all coding policies, procedures, standard operating procedures

2. Effectively uses encoding software and reference materials to assign appropriate codes

3. Provider driven coding: Reviews and accepts or revises code selection based

upon documentation and coding guidelines.

4. Non – provider driven coding: Reviews provider documentation and assigns

appropriate codes based upon coding guidelines

5. Reviews coding edits and accurately resolves so encounter can be sent to claims

6. Sends clear, respectful communications to provider in basket or queries when

additional information is needed before finalizing coding

7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues

related to documentation, coding or systems that may impact quality, compliance, or productivity

8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager.

9. Maintains coding quality and productivity standards

10. Actively engages and makes meaningful contribution when participating in

performance improvement initiatives, department meetings and other meetings as required

11. Maintains required CEU’s

Compensation (Commensurate with experience):

To

To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits