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Job Summary:

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. The Coding Specialist 3 is required to code patient records using advanced coding skills for multiple patient types. The Coding Specialist 3 is responsible to apply the appropriate diagnostic and procedural codes to finalize and bill the account. The incumbent in this position will support the Mission, Vision, and Values of the Mary Washington Healthcare (MWHC) and demonstrates commitment to quality service and support ICARE values.

Essential Functions & Responsibilities:

• Assigns ICD-10-CM/PCS and/or HCPCS codes, creating APC or MSDRG group assignments using the encoder software.
• Analyzes medical record documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code and enters the charges.
• Queries physicians for clarification when documentation is inadequate, ambiguous, or unclear for coding purposes.
• Abstracts pertinent information from patient records for reporting purposes.
• Meets coding productivity and quality standards as defined by policy.
• Participates in all available continuing educational as required.
• Maintains knowledge of coding guidelines and reimbursement reporting requirements.
• Communicates and documents downtime to the Coding Supervisor/Manager daily.
• Abides by HIPAA regulations and MWHC confidentiality policies.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to Official Coding Guidelines.
• Abides by HIPAA regulations and MWHC confidentiality policies.
• Performs other duties as assigned.

Qualifications:

• High school diploma or equivalent required.
• CCS certification required.
• Three years hospital coding experience required.
• Knowledgeable and proficient in both inpatient and outpatient coding.
• Experience in the use of medical terminology required.
• Experience using the concepts of pathophysiology.
• Experience working within inpatient and outpatient coding guidelines required.
• Experience with PPS methodology for inpatient and outpatient encounters required.
• Must be able to work remotely.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.