Coding Specialist I Inpatient Medicine

The Coding Specialist I is an entry-level medical coding professional responsible for assigning accurate ICD-10-CM diagnosis codes and CPT service codes for the professional component of rendered services, supporting the organization’s quality, utilization, and financial goals.

Location: Remote

Salary: $18.76 - $34.70 per hour

Responsibilities

• Examines medical records to determine the proper ICD and CPT codes to be assigned.
• Utilizes coding tools & resources to verify the correctness of CPT and ICD codes assigned.
• Abstracts data including providers, injury info, quality measures, and others as needed.
• Maintains knowledge of current trends and practices in coding principles and government regulations.
• Maintains appropriate certification.
• Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies.
• Communicates risk management concerns to appropriate parties.
• Completes priority accounts (Holds) daily.
• Refers complex issues to designated work queues.
• Participates in coder specific training and education based on audit metrics and trends.
• Reviews and analyzes content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers.
• Answers coding and abstracting questions from leadership, compliance, clinicians, etc.
• Maintains coding accuracy rate of ≥ 95%.
• Maintains coding productivity rate of ≥ 95%.
• Maintains minimum of 15 CEUs per quarter.
• Accurately identifies and enters core abstracting elements.
• Identifies documentation trends and topics for education/feedback.
• Keeps current with coding and industry changes.
• Understands updates from intermediaries, carriers, government agencies, third party payers.
• Knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payor-specific guidelines.
• Assists with special projects.

Requirements

• Knowledge of and experience using ICD and CPT coding.
• Knowledge of payor guidelines.
• Knowledge of and skill in using personal computers in a Windows environment.
• Ability to work independently and make decisions.
• Attention to detail.
• Problem-solving skills.
• Effective communication skills.
• Ability to maintain confidentiality.
• Organizational skills.

Benefits

• Medical, dental, and vision insurance options.
• Health savings accounts (HSA) and flexible spending accounts (FSA).
• 401(k) contributions.
• Paid time off, including vacation, sick leave, and holidays.
• Paid parental leave & family support benefits.
• Short-term and long-term disability insurance.
• Life and AD&D insurance.
• Employee assistance programs & wellness resources.

Additional Information

• Hourly rate may be determined on several factors including knowledge, skills, experience, education, location, and requirements.
• Additional compensation may include bonus, equity, or other incentives.
• Benefits vary based on role, location, and employment status.