Medical Coding Specialist 2

ESSENTIAL DUTIES AND RESPONSIBILITIES

Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.
Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.
Researches any coding inquiries the provider or medical staff may have, and presents findings to them.
Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.
Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.
Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.
Works with billing partners in developing efficient coding processes and researching denials.
Responds to customer concerns through coding reviews requested by other departments.
Conducts provider coding orientation and education sessions and documents all information presented.
Maintains an in-depth knowledge of Epic ambulatory and hospital modules.
Works as a team to achieve productivity goals.

EDUCATION AND EXPERIENCE

High School graduate or equivalent
Two years of experience coding professional services in multiple specialties

CERTIFICATION AND LICENSURE

Certified Professional Coder (CPC) or other equivalent coding certification required

SKILLS AND ABILITIES
Problem solving skills
Excellent written/oral/interpersonal/communication skills
Analytical skills

SPECIAL PHYSICAL DEMANDS

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the partner is regularly required to talk and hear. Eyesight to identify numbers, folders, colors, and computer printouts. Speech to communicate one-on-one and over the telephone. Manual dexterity to operate keyboards, mouse and telephones. Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms. The partner is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The partner must occasionally lift and/or move up to 25 pounds.

LEVEL OF SUPERVISION

N/A

SUPERVISES

N/A

PAY RANGE:

$24.12 - $36.18

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

Medical, Dental, Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including: