Coding Specialist II – Hospitalist

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate clinical documentation to assign and sequence diagnostic and procedural codes for specific patient categories, ensuring adherence to requirements for hospital or physician data retrieval related to billing and reimbursement.

• Confirm APC calculations to accurately represent the diagnoses and procedures recorded in the clinical documents for hospitals.

• Conduct documentation assessments to enable precise abstraction of clinical data, meeting regulatory and compliance standards.

• Collaborate with client personnel and healthcare providers.

• Choose and sequence ICD-10, and/or CPT/HCPCS codes for specified patient types, which may include, but are not limited to: Ancillary (Diagnostic)/Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management.

• Review and assess facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses and procedures documented in the clinical records.

• Abstract clinical data from records following documentation review to guarantee that it is sufficient and suitable to support the selected diagnoses, procedures, and discharge dispositions.

• Complete assigned tasks using appropriate resources.

• Serve as a resource for client staff regarding data integrity, providing clarification and support in understanding and determining appropriate and compliant coding practices, including provider queries.

• Uphold strict patient and provider confidentiality in accordance with all HIPAA guidelines.

• Engage in client and Savista staff meetings, training sessions, and conference calls as requested or required.

• Keep up-to-date with the latest knowledge of ICD-10 and/or CPT/HCPCS coding standards, government regulations, protocols, and third-party requirements related to coding and/or billing.

• Participate in continuing education initiatives to enhance knowledge and skills, as well as maintain current credentials.

⛳️ Requirements

• Possess an active AHIMA (American Health Information Association) credential, including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credential such as COC (formerly CPC-H), CCS-P, or CPC, or a related specialty credential.

• Two years of recent and relevant hands-on coding experience are required.

• Strong understanding of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS coding systems.

• Ability to consistently achieve a coding accuracy rate of 95% while adhering to client-specific and/or Savista production and quality standards.

• Proficient in computer skills, including MS Office, with the capability to enter data and sort and filter Excel files (Outlook, Word, Excel).

• Must demonstrate excellent interpersonal and problem-solving abilities when interacting with all levels of internal and external clients.

🏝️ Benefits

• Comprehensive health benefits package.

• Opportunities for professional development and continuing education.

• Flexible work schedule options.

• Supportive work environment that values collaboration and growth.