Clinical Coding Specialist III

Job Ref: 19956
Category: Professional & Management
Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742

Department: Medical Records
Schedule: Full Time
Shift: Day shift
Hours: 8-4:30

Job Summary:

Under general supervision and reporting to the Coding Manager, the Clinical Coding Specialist III codes hospital inpatient and outpatient 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 Meditech hospital-wide computer system for billing and statistical purposes. Maintains current working knowledge with all coding rules and regulations in accordance with the hospital coding compliance policy and procedures.

Minimum Qualifications:

Education: High School diploma or equivalent. Associate or bachelor degree in an AHIMA approved program in Health Information Technology preferred.

Experience: Previous experience in Health Information Management. Medical coding certification preferred and a minimum of 3 years ICD-10CM and CPT coding experience.

Licensure and/or Certification: Certified Coder

Skills: Extensive knowledge of medical terminology, anatomy and physiology, and disease processes.

Broad knowledge of Federal, State and payer-specific regulations and policies pertaining to documentation, coding and billing.

Ability to read and interpret regulatory guidelines with regard to proper coding and documentation.

Strong computer skills to include MS Office tools (Word, Excel, PowerPoint, and Outlook); previous 3M Encoder and Meditech 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 use judgment in carrying out all phases of the work.

Ability to accept constructive analysis based on feedback from inside/outside auditors, and quality improvement initiatives.

Ability to maintain confidentiality with regard to 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.

Subject to irregular hours occasionally.