
Coding Specialist III
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Evaluate clinical documentation to accurately code diagnoses and procedures for inpatient hospital-related claims and data requirements.
• Assess clinical documentation to assign codes for diagnoses, EM levels, and surgical CPT for professional and technical claims and data needs.
• Verify MS-DRG and APC calculations.
• Extract clinical data.
• Resolve coding-related claims scrubber edits associated with diagnosis, EM level, surgical CPT, and/or PCS coding.
• Collaborate with client personnel and providers as necessary.
• Allocate ICD-10-CM and PCS codes for inpatient visits or ICD-10-CM codes, professional and technical EM levels, and surgical CPT codes for physician consultations.
• Sustain a consistent quality level of 95% or higher at commercially viable production rates.
• Engage in client and Savista meetings and training sessions.
• Keep up-to-date with coding conventions relevant to client projects.
• Carry out other related responsibilities as needed.
• Active AHIMA credential or active AAPC credential.
• A minimum of one year of pertinent coding experience for the specific patient type for which you are being hired, within the last six months.
• A passing score of 80% on designated specific pre-employment assessments.
• Capability to maintain a consistent quality level of 95% or higher.
• Current knowledge of the coding conventions applicable to client assignments.
• Certified Great Place to Work for four consecutive years.
• Equal Opportunity Employer.
American Health Partners
Humana
HCA Healthcare
TEKsystems
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