Coding Specialist

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  The Coding Specialist position utilizes the acquired skill of assigning codes to medical diagnoses and procedures from patient information contained in the medical record, transforming it into categorized meaningful data. The coding specialist reviews patient information at all levels of care and assigns codes according to multiple established classification system. Through this process, the coding specialist generates an abstract displaying the patient's health history and current episode of care. This position generates information and data that can be used to study patterns of illness and injuries treated, for clinical, financial, and administrative purposes. They must work toward the achievement of the goals of the Cuyuna Regional Medical Center.
  
  

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  Education and Experience:
  
  
  
  
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    Successful completion of an approved coding program and/or maintains the following coding credentials: CCA, CPC, CCS-P, CCS, CPC-H, CPC-P, RHIT or RHIA. Demonstrates skill and knowledge of ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding guidelines and procedures. Demonstrates skill in using ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding books and/or automated encoding systems. Successful completion of the medical terminology and coding standard. A minimum of 1 -2 years of coding experience required.
    
    
  
  
  
  
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  License/Certificates:
  
  
  
  
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    Individual has successfully completed an approved coding program and/or maintain the following coding credentials: CCA, CPC, CCS-P, CCS, CPC-H, CPC-P, RHIT or RHIA. Must obtain CEUs to maintain current credentials.
    
    
  
  
  
  
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  Special Skills and Aptitudes:
  
  
  
  
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    Requires flexibility and cooperation when dealing with medical staff and other hospital personnel.
    
    
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    Maintains accuracy and attention to detail while meeting established turnaround goals.
    
    
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    Communicates effectively, both orally and in writing.
    
    
  
  
  
  

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  1. Review the content for each medical record as it relates to documentation and coding assignment and identify deficiencies as needed.
  2. Assign diagnosis and procedure codes following guidelines and standard practice procedures for ICD-10-CM classification system.
  3. Assign CPT/HCPCS codes following guidelines and standard practice.
  4. Follow sequencing guidelines to establish principal and secondary diagnoses and procedures.
  5. Assign appropriate modifiers to further identify services performed.
  6. Abstract patient information from the medical record onto the computerized patient abstract database.
  7. Investigate errors and warnings from encoding software and corrects accordingly.
  8. Transmit information from the abstract to the billing system.
  9. Enter charges as appropriate per established processes.
  10. Maintain encoding software and coding references with updates when published.
  11. Participate in orientation and training of new employees into various coding roles.
  12. Attend continuing education sessions to maintain and enhance coding skills and meet requirements for certification.
  13. Participate in utilization review and other organizational processes to evaluate documentation concerns.
  14. Maintain a working knowledge of reimbursement methodologies and critical access guidelines to maximize reimbursement.
  15. Review claim denials and collaborates with billing/denial staff to resolve.
  16. Routinely and systematically addresses assigned Excellian work queues.
  17. Coding account types will be coded by Coding Specialist/RHIT according to the level of training as outlined (See Tiers below).
  18. Demonstrate Standards of Excellence when other duties are assigned.
  
  
  
  
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  Lead Responsibilities if applicable:

  
  

  
  
  • Direct and check the work of others.
  • Participate in the orientation and/or training of employees and provide feedback to management.
  • Coordinate the workflow among employees within the work area.
  • Provide technical or functional directions and support to employees.
  • Inform management on operational needs of the department.
  • Assist with the creation of work schedules.
  • Approve requests for time off, schedule changes, or additional ours/overtime and determine sick call replacement, according to a jointly pre-approved process, in the absence of a supervisor or manager.
  • Excellent Customer Service and communication skills are essential for the lead position.
  • Analyze and monitor all assigned work queues, identify error trends and develop training resources to improve accuracy.
  • Work closely with all Revenue Cycle staff to identify and create account accuracy improvement projects.
  • Serve as a communication liaison between revenue cycle staff for problem accounts and efficiencies.
  
  

  
  
  

  The pay range for this role is $27.80 to $34.53.

  Benefits
  
  Flexible schedule
  
  Competitive wages
  
  Medical, Dental, Vision, & Life insurance options
  
  HSA option
  
  401k contribution
  
  Scheduled every other weekend
  
  Paid Time Off

  
  

Why Cuyuna Regional Medical Center? CRMC provides the highest quality patient care by hiring exceptional, qualified individuals and providing opportunities for growth and advancement. We are more than 1,000 employees working in a unique environment that brings together the best in patient care and innovative medical specialties. From our expansive surgery suites with leading edge technology to our resort inspired senior living spaces, from trauma to routine, obstetrics to hospice, we provide services across the continuum of care - all in Minnesota's beautiful Brainerd lakes country. For more information about our medical campus visit: http://www.cuyunamed.org.

We offer a competitive compensation package, which includes exceptional benefits.

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Site Description: Crosby a city of 3,000 residents is part of the Brainerd and Cuyuna Lakes Area in central Minnesota. It is a top 5 destination in the United States for mountain biking. Crosby is just 15 miles from Brainerd, MN and a two-hour drive from Minneapolis/St. Paul. The Brainerd Regional Airport, which is serviced daily by Delta Airlines, is located 11 miles from Crosby. CRMC is located within a two-hour radius of Alexandria, Duluth, and St. Cloud.