Clinical Coder III
Offer summary
Qualifications:
1 certification from AACP or AHIMA is required at the time of hire., 3 years of relevant experience is necessary, with a high school diploma or GED substituting for 2 years of work experience., In-depth knowledge of coding guidelines, regulations, and compliance requirements is essential., Ability to work independently and serve as a resource for other coders is important..Key responsabilities:
- Review patient medical records to identify diagnoses and procedures for accurate coding.
- Assign ICD, CPT, and HCPCS codes while ensuring coding accuracy and compliance with guidelines.
- Communicate with healthcare professionals to clarify documentation and resolve coding discrepancies.
- Stay updated on coding regulations and participate in quality assurance reviews to improve coding efficiency.
Job description
ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.
This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana.CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report.
Work Shift:
Day ShiftTime Type:
Full timeDepartment:
CC807200 PSO Professional CodingSummary:
Monday - Friday, Remote (Training will be hybrid)The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations.
Additional Information:
Monday - Friday, Remote (Training will be hybrid)
**1 certification from AACP or AHIMA is REQUIRED at the time of hire**
Required Education:
Recommended Education:
No education requirementsRequired Work Experience:
3 years of relevant experience; HS Diploma or GED may substitute for 2 years of work experienceRecommended Work Experience:
Required Certifications:
1 certification from AACP or AHIMA - American Academy of Professional Coders (AACP) or American Health Information Management Association (AHIMA)Recommended Certifications:
Description
1. Review patient medical records (e.g., physician notes, lab results, radiology reports, operative reports) to identify diagnoses and procedures.
2. Assign accurate ICD (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) codes.
3. Ensure coding accuracy and consistency across medical records.
4. Adhere to established coding guidelines, coding conventions, official coding rules, and regulatory requirements (e.g., CMS, HIPAA).
5. Maintain confidentiality of patient information in accordance with HIPAA regulations.
6. Stay current with coding updates, changes in regulations, and industry best practices.
7. Abstract data and information from medical records for various reporting requirements.
8. Communicate effectively with physicians, nurses, and other healthcare professionals to clarify documentation and resolve coding discrepancies.
9. Research and resolve accounts that have failed in the billing/collection process due to issues surrounding diagnostic and procedure coding.
10. Codes highly complex patient encounters, including specialized areas of medicine (e.g., oncology, cardiology, surgery).
11. Possesses in-depth knowledge of coding guidelines, regulations, and compliance requirements.
12. Works independently and serves as a resource for other coders.
13. May participate in coding audits and quality assurance reviews.
14. Identifies opportunities to improve coding accuracy and efficiency.
Required profile
Experience
Other Skills
- Quality Assurance
- Analytical Skills
- Communication
- Problem Solving
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