Coding Job Description

Coding Job Description

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Coding provides feedback to the coding management team and staff regarding highly complex ICD 10 CM/PCS and CPT-4 coding and DRG/APC assignment and related clinical documentation.

Coding Duties & Responsibilities

To write an effective coding job description, begin by listing detailed duties, responsibilities and expectations. We have included coding job description templates that you can modify and use.

Sample responsibilities for this position include:

Serve as a coding expert working with the coding Supervisor/Manager and Program (CDIP) Data Integrity Liaison to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions and regulatory oversight agencies
Apply all coding principles and guidelines as defined in the Coding Clinic, CPT Assistant, AHIMA Standards of Ethical Coding, Swedish Policies, and other leading authorities
Develop and/or enhance Coding policies, procedures and SOPs, coding tools
Responds to requests for data/information, such as outstanding queries, denials due to coding, staff productivity monitoring and reporting, coding accuracy rates in a timely manner
Monitor compliance/coding standards and policies to ensure UI Health Care receives full and accurate reimbursement for services that comply with HIPAA coding and payment rules/regulations
Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-9-CM/ICD-10-CM/PCS, AMA CPT-4, UHDDS and CMS guidelines and regulations
Provides coding expertise to staff members in other departments as needed, , Scheduling
Serves as an expert consultant to physicians, non-physician providers, their office staffs and CBO staff on all issues relating to the accurate and proper coding of patient medical information on bills submitted to Medicare, Medicaid, commercial insurance providers, self-pay or any other third-party payers to ensure the maximum allowed reimbursement and support the revenue cycle
Supervises daily operations specific to coding and DNFB, DNFC monitoring for assignments
Monitor physician and/or facility coding and billing activities performed for the centralized departments with CID through QA and productivity reviews to ensure compliance with all rules and regulations in a timely manner

Coding Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Coding

List any licenses or certifications required by the position: RHIT, RHIA, CCS, AAPC, CPC, AHIMA, ICD, BLS, CRC, II

Education for Coding

Typically a job would require a certain level of education.

Employers hiring for the coding job most commonly would prefer for their future employee to have a relevant degree such as Associate and High School Degree in Education, Medical, Health Information Management, Technical, Nursing, Associates, Business, Healthcare, Supervision, Health

Skills for Coding

Desired skills for coding include:

Medical terminology
CPT
Anatomy and physiology
Anatomy
Physiology
Coding
ICD-10
Medicare market
Related field
CMS HCC Model and Guidelines along with ICD 10 Guidelines

Desired experience for coding includes:

Reviews and audits outpatient/inpatient coding records
Is responsible for the coordination of billing with several related departments
Minimum of 2+ years of Coding experience
3+ years of Coding experience in an Acute Care Hospital setting with 1 year training experience
Bachelor degree preferred or equivalent experience (2+ years in a manufacturing, planning or supply chain environment)
Work closely with independent auditors and external exam teams to provide necessary support and materials

Coding Examples

1

Coding Job Description

Job Description Example
Our growing company is looking for a coding. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding
  • Completion of an associate's degree (preferably in a coding related field) or equivalent experience
  • Five to seven years related experience in ICD 9 and CPT coding and physician/medical billing
  • Communicate with coding staff, third party payors, clinic staff and patients to address and resolve patient account issues
  • Assist in providing and analyzing reports related to documentation issues, coding patterns, physician productivity, reimbursement trends
  • Researches and documents updates to existing CMS promulgated code sets, and grouping methodologies, coding rules, NCCI edits, NCD, LCD
  • Use EmBillz/I-Med reports to identify areas for focused chart audits, Downcodes, Nonbillables, procedural coding
  • Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, ) to appropriate personnel for follow-up and resolution
  • Ensure accurate ICD-9-CM, CPT and DRG assignments by using all available functions and edits of the encoding system
  • Responsible for developing and maintaining coding guidelines for new and existing employees
  • Review and revise departmental policies and provide education to coding staff regarding changes
Qualifications for coding
  • Provide direction, assignments, feedback, coaching and counseling to assure outcomes are achieved
  • Proficiency with standard office computer software applications
  • Knowledge of team dynamics and skilled in building consensus
  • Montreal, Quebec
  • Ottawa, Ontario
  • A minimum of 5 years of experience in health care and revenue cycle experience required
2

Coding Job Description

Job Description Example
Our company is searching for experienced candidates for the position of coding. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding
  • Develop and revise educational objectives and curriculum applicable to all Epic coding processes
  • Provide key data elements to coding leadership to ensure workload is being maintained and AR goals are being met
  • Maintain standardized coding operational workflows and system build
  • Updates coding tools such as fee tickets annually to ensure the most current codes are utilized
  • Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature, and attending other educational forums
  • Selects, assigns and sequences the appropriate ICD10-CM/PCS and CPT codes to patients’ current encounter of care according to established sequencing guidelines for optimal reimbursement and generation of the appropriate DRG and/or AP/APR/DRG
  • Collaborate with Revenue Cycle and Quality Management Departments to ensure accurate coding on all cases
  • Participate in the development of health-information management policies for all operational areas, especially those related to coding
  • Develop a key metric-management dashboard to report on coding performance
  • Lead, mentor, and engage staff (coding manager, 10 coders, and 2 DRG reviewers)
Qualifications for coding
  • Demonstrate advanced computer skills, including Microsoft Office applications to include Word, Excel, PowerPoint and troubleshooting computer problems
  • Demonstrate excellent leadership, interpersonal, organizational and communication skills
  • 3 or more years of experience in drug development with at least 2 years performing Clinical coding
  • Strong understanding of medical terminology, includ-ing medical conditions and medications
  • Good communication, problem-solving, negotiation and conflict resolution skills
  • Ability to work independently, under pressure, and in an environment where flexibility is required
3

Coding Job Description

Job Description Example
Our innovative and growing company is looking for a coding. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for coding
  • Assist in keeping all charge tickets up-to-date with current CPT and ICD-10 codes
  • Ensures that staffing levels and coverage is maintained at all times for timely coding of all accounts
  • Develop and coordinate an educational plan that encompasses accurate coding and billing procedures based on specialty to obtain appropriate reimbursement
  • Provide regularly scheduled educational seminars regarding coding & billing
  • Design tools to enhance the level of knowledge of current ICD-10-CM codes for physicians and staff
  • Communicate government and private insurance carriers’ coding billing policies and guidelines to physicians and office staff
  • Perform audits to determine coding/billing accuracy
  • Review hospitalist inpatient, outpatient and ED chart notes, verify and/or correct the level of service and ICD-10 codes chosen by the providers
  • Utilize inpatient professional fee coding experience
  • Demonstrate accuracy in a production coding environment
Qualifications for coding
  • Understanding of clinical trials methodology, GCP and coding tools
  • Measure and manage departmental quality metrics to ensure staff, matrix partners and client requirements are met
  • Researches and documents forthcoming future initiatives from CMS and distributes needed information as requested
  • Performs requested Commercial and Medicaid research for client programs, formats and engages in required communication and team meetings
  • Works as an individual in a team environment, able to manage own work but able to function as an integral part of a group
  • Understanding of payment methods such as DRG, Percent of Bill, Per Diem, APC, ASC, Outlier
4

Coding Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of coding. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for coding
  • Track and trend documentation and coding deficiencies and provide education and feedback to providers
  • Meet periodically with provider specialty groups to discuss any changes in coding or reimbursement, and provide ongoing education
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to provide education to physician to accurately complete the coding process
  • Utilize computer applications and resources essential to completing the coding process efficiently
  • Grows Footprint in Own Service Area – ensure key customers are referenceable promoters to support sales
  • 3M Encoder processes
  • Continual monitoring of charts not final coded
  • Monitor and report individual coder productivity
  • Coordinate development and implementation of systems necessary for timely and accurate collection of outpatient billing data and statistical information
  • Plan, develop and implement systems for government and other carrier audits
Qualifications for coding
  • Coding Researcher and Query Development
  • Position requires CPC-P with billing experience (5-10 years) to include Medicaid, Medicare and Commercial
  • Clear understanding of Billing forms, NCCI edits, MUE, Coding rules, Revenue Codes, Types of bills
  • Strong and efficient communication skills both oral and written
  • Mid-level or higher Excel experience Ability to work as part of a team but self-motivated for completion of projects and assignments
  • Able to work in the Jacksonville, Florida office
5

Coding Job Description

Job Description Example
Our innovative and growing company is looking to fill the role of coding. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for coding
  • Functions as a resource for Practice Managers and Providers with denials and coding questions
  • Acts as a liaison between physicians and support staff to resolve issues involving coding, billing, and documentation requirements and procedures
  • Coding Productivity of 52 HAR accounts per day
  • Maintains 95% coding accuracy
  • As regulatory, clinical or technology updates occur, ensure a timely and uniformly response as a division
  • Maintain a close relationship with the physician offices, the ambulatory business office and FAIS
  • Triage difficult reimbursement issues to the consultants or manager for review and follow-up
  • Works closely with the department to assist in developing policies, procedures, process improvements and workflows
  • Some presentation/speaking/teaching skills
  • Daily interaction with team members is required
Qualifications for coding
  • College level preparation or diploma preferred
  • CPC, CCS-P, RHIT, RHIA or equivalent
  • Minimum 3-5 years’ experience with coding of physician records
  • Willingness to travel on national basis with overnight stays away from home
  • Completed certificate program in coding or associate degree in HIM or a certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle)
  • Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model

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