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Clinical Coding Specialist (EPA)

Company: Emerson Hospital
Location: Concord
Posted on: June 10, 2024

Job Description:

Under general supervision and reporting to the Executive Director of Revenue Cycle, the Clinical Coding Specialist codes, reviews and reconciles professional clinician charges for hospital-based services using International Classification of Disease 10-Clinical Modifications (ICD-10CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. - Abstracts all data elements into the Medaptus for billing and statistical purposes. - Maintains current working knowledge with all coding rules and regulations.Minimum Qualifications:Education: -

  • High School diploma or equivalent preferred.
  • Associate or bachelor's degree in an AHIMA or AAPC approved program preferred.Experience:
    • Completion of a Coding Certification program or Health Information Technology Program required.
    • Experience in coding, billing, and knowledge of insurance reimbursement policies and regulations or equivalent experience is preferred but not required if one has completed a Coding Certificate or Health Technology Program.Licensure and/or Certification:
      • Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include CPC -, CPC-H, CCS, CCS-P.Skills: -
        • Proficient in ICD-10, CPT -, HCPCS, and modifiers for coding of professional fee services.
        • Working knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations.
        • Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required.
        • Accuracy and attention to detail
        • Proficient with computer applications (MS Office etc), good data entry skills
        • Working knowledge of medical terminology, anatomy and physiology, and disease processes.
        • Understanding of Federal, State and payer-specific regulations and policies pertaining to documentation, coding, and billing.
        • Ability to read and interpret regulatory guidelines regarding proper coding and documentation.
        • Strong computer skills to include MS Office tools (Word, Excel, PowerPoint, and Outlook).
        • Meditech and Medaptus experience preferred. Extensive use of computer and office equipment including fax, copy machines, scanners.
        • Technical skills to work with detailed systems, computer applications and intradepartmental units.
        • Knowledge of JCAHO requirements and federal and state guidelines applicable to health record completeness and patient privacy.
        • Knowledge of health information systems and data management
        • Knowledge of health record content and sequence.
        • Strong analytical and communications skills; detailed oriented.
        • Ability to accept constructive analysis based on feedback from inside/outside auditors, and quality improvement initiatives.
        • Ability to use judgment in carrying out all phases of the work.
        • Ability to maintain confidentiality regarding all phases of the work.
        • Ability to be courteous, tactful, and cooperative throughout the working day.
        • Ability to process and provide accurate paperwork.
        • Ability to process work within presented deadlines and time frames.
        • Ability to manage multiple projects and large amounts of data.
        • Ability to work independently as well as a team player.
        • Demonstrated interpersonal and communications skills to ensure effective outcomes in dealing with the medical staff and other hospital employees.

Keywords: Emerson Hospital, Boston , Clinical Coding Specialist (EPA), Healthcare , Concord, Massachusetts

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