Coding Specialist III

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

📋 Description

• Review clinical documentation to code diagnoses and procedures for inpatient hospital-based claims and data requirements.

• Code diagnoses, EM levels, and surgical CPT codes for both professional and technical claims along with data requirements.

• Validate MS-DRG and APC calculations.

• Abstract clinical data.

• Address diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits.

• Collaborate with client staff and providers as necessary.

• Assign 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 visits.

• Maintain commercially appropriate production rates and achieve a consistent quality level of 95% or above.

• Engage in client and Savista meetings and training sessions as directed by management.

• Keep up-to-date with coding conventions relevant to client assignments.

• Perform other related duties as needed.

⛳️ Requirements

• Active AHIMA credential or active AAPC credential.

• At least one year of relevant coding experience for the specific patient type being hired, within the last six months.

• A passing score of 80% on designated specific pre-employment tests.

• Capability to assign ICD-10-CM and PCS codes.

• Capability to assign professional and technical EM levels and surgical CPT codes.

• Ability to validate MS-DRG or APC assignments.

• Proficiency in abstracting clinical data.

• Ability to address coding-related claims scrubber edits.

• Consistently maintain a quality level of 95% or higher.

• Current knowledge of applicable coding conventions.

🏝️ Benefits

• Certified Great Place to Work for four consecutive years.

• Opportunities to collaborate and make a meaningful impact.

• Options for video call or in-person interviews.

• Secure platform for sharing personally identifiable information.