Southwoods Health | Boardman, OH Status: Full-Time | Setting: Fully Remote or Fully In-Office Note: Remote employees must live within a commutable distance from Boardman, OH for initial training.
About the Role
Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.
Essential Duties
Chart Abstraction: Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation.
CPT Coding: Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required.
Physician Queries: Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations.
Guidelines & Specificity: Apply a strong understanding of bundling concepts, CMS guidelines, and HCPCS codes to ensure accurate assignment based on Place of Service (POS). Assign ICD-10 codes to the highest level of specificity.
Payer Rules & Modifiers: Accurately append modifiers and adhere to distinct guidelines for specific payer groups, including Medicaid HMO and Medicare HMO networks.
Quality & Performance: Maintain a minimum 95% coding accuracy rate while consistently meeting established productivity standards.
Compliance Framework: Ensure all processes at assigned physician practices maintain strict compliance with all regulatory agencies.
Collaborative Support: Research coding inquiries independently, collaborate with supervisors, and perform other duties as assigned.
Qualifications
Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned
At least one year in a healthcare setting, 10 or more years of coding experience will be accepted in lieu of a certificate
Good Communication skills
Working knowledge of Excel
Good Computer Skills
Strong ethical and moral character references
Why Southwoods?
At Southwoods, it's not just about the treatment, but how you're treated. Join an expanding, award-winning healthcare network that offers flexible work environments and values your specialized professional expertise. #SWH