Coding Specialist II

Overview

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years.

Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.

Remote:
Must live in TX, AR, FL or WI

The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing.

This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.

• High school diploma required.
• Must have successfully completed an approved coding program.
• OR must be a graduate of a Health Information Management program.
• Must have strong knowledge of Anatomy and Physiology and possess strong application skills.

• Must have two (2) years of coding experience in an acute care setting or diverse clinical specialties.
• Physician office coding, charging, and billing experience preferred

• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

• Must be certified through the American Health Information Management Association (AHIMA) as one of the following:
• Registered Health Information Management Technician (RHIT)
• Registered Health Information Management Administrator (RHIA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist Physician Based (CCS-P)
• OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following:
• Certified Professional Coder (CPC)
• Certified Professional Coder-Hospital (CPC-H)
• Certified Outpatient Coder (COC)

• Advanced coding and charge review skills understanding the utilization of modifiers and other coding, charging and billing rules to include AMA and other state and federal organizations.
• Advanced knowledge of ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, E/M coding and abstracting, APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage for hospital and professional billing.
• Score a minimum of 80% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.
• Must have knowledge of medical terminology, the human disease process, anatomy and physiology.
• Demonstrate proficiency in coding and encoder skills.
• Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC).
• Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred.