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UnityPoint Health Coding Specialist I in Des Moines, Iowa

Coding Specialist I review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations.

Coding and Department Support

  • Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable.

  • Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.

  • Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.

  • Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.

  • Monitor environmental conditions in order to secure protected health information.

  • Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site.

  • Attend clinic/provider meetings as necessary per the Coding Supervisor and/or the Operations Coding Manager.

  • Collection and/or analysis of coding-related data for training purposes or presentation as needed.

  • Maintain compliance with Personnel, Corporate Compliance and HIPAA policies and procedures.

  • Maintain regular and consistent attendance at work.

  • Maintain compliance with Personnel policies and procedures.

  • Behave in a manner consistent with all Compliance and HIPAA policies and procedures.

  • Monitor environmental conditions in order to secure protected health information.

  • Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

  • Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.

  • Perform other duties as requested to facilitate the smooth and effective operations of the organization.

  • Consistently research and resolve coding related denials per payor regulations.

  • Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

  • Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.

  • Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers.

Experience:

  • Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT) and HCPCS codes required

  • Two (2) years of coding, charge entry and/or medical office experience preferred

  • Computer data entry experience preferred

License(s)/Certification(s):

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) current certification status required within one year of hire

Knowledge/Skills/Abilities:

  • Knowledge of medical terminology, anatomy, and physiology

  • Strong interpersonal and communication skills

  • Ability to work as a team member

  • Knowledge of medical billing and third party reimbursement policies preferred.

  • Strong computer skills

  • Strong verbal and written communication skills

  • Ability to understand government and non-governmental policies and procedures and apply guidelines preferred

Requisition ID: 2021-90132

Street: 6200 Thornton Ave

Name: 9010 Administration

Name: Coding- Professional Billing

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Non-Exempt

Scheduled Hours/Shift: M-F 8-5

External Company Name: UnityPoint Health

External Company URL: http://www.unitypoint.org

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