at Mercy Health Corporation (Mercyhealth) in Rockford, Illinois, United States
Job Description
Medical Coding Specialist II
Job Locations
US-IL-Rockford
ID
2023-28425
Category
Billing / Coding
Position Type
Pool
Scheduled Hours
Varied
Company
Mercyhealth Rockton Ave Bldg 1
Overview
Medical Coding Specialist II, Coding, PRN/Pool/As Needed
Hybrid, Remote, and flexible work schedule opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.
Reviews assigned providers' procedure and diagnosis codes, and makes coding changes as necessary. Provides timely feedback to providers regarding documentation guidelines, coding, and audits. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary.
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/Licensure
Certified Professional Coder (CPC) or other equivalent coding certification required
Special Physicial 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.
Culture of Excellence Behavior Expectations
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EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans.
