
Coding Specialist III
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Analyze clinical documentation to assign codes for diagnoses and procedures related to inpatient hospital claims and data requirements.
• Assign codes for diagnoses, evaluation and management levels, as well as surgical CPT codes for both professional and technical claims.
• Confirm the accuracy of MS-DRG and APC calculations.
• Extract clinical data for various purposes.
• Address diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits.
• Collaborate with client personnel and providers as necessary.
• Attend client and Savista meetings and training sessions.
• Keep up-to-date with coding conventions relevant to client assignments.
• Perform additional related tasks as needed.
• Valid AHIMA (American Health Information Association) credential or current AAPC (American Academy of Professional Coders) credential.
• Minimum of one year of pertinent coding experience for the specific patient population within the last six months.
• Achieve a passing score of 80% or higher on designated pre-employment assessments.
• Proficient in assigning ICD-10-CM and PCS codes for inpatient visits, or ICD-10-CM codes, along with professional and technical EM levels and surgical CPT codes for physician visits.
• Capability to validate MS-DRG or APC assignments.
• Skill in abstracting clinical data.
• Competence in resolving hospital inpatient or professional and technical coding-related claims scrubber edits.
• Ability to stay informed about relevant coding conventions.
• Consistently achieve a quality level of 95% or higher and maintain commercially viable production rates.
• Recognized as a Certified Great Place to Work for four consecutive years.
• Flexible remote work options available.
American Health Partners
Humana
HCA Healthcare
TEKsystems
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