About the position
The Certified Coder (CCS) position is a remote full-time role within the Health Information Management department at Butler Hospital. The primary responsibility of this position is to ensure accurate coding of all outpatient services, procedures, diagnoses, and conditions based on the appropriate documentation found in medical records. The coder will utilize various classification systems, including ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, and HCPCS, as well as other specialty systems as required by the diagnostic category. All coding work must adhere to the rules, regulations, and coding conventions established by the American Hospital Association (Coding Clinic), as well as the guidelines set forth by CMS. In addition to coding, the Certified Coder may also assist other employees by providing clarification and support regarding data integrity and coding practices. This role requires a strong understanding of medical terminology, anatomy, and physiology, as well as the ability to communicate effectively with physicians to clarify diagnoses, procedures, and the sequencing of diagnoses. The position is structured for a 40-hour work week, primarily during the day shift, and is part of a unionized workforce. The successful candidate will be part of Care New England Health System, which encompasses several trusted healthcare organizations dedicated to advancing medical research and providing high-quality healthcare services.
Responsibilities
- Accurately code all outpatient services, procedures, diagnoses, and conditions from medical records.
- Utilize classification systems including ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, and HCPCS.
- Ensure compliance with coding conventions and guidelines set by the American Hospital Association and CMS.
- Assist other employees with coding-related questions and data integrity issues.
- Communicate with physicians to clarify diagnoses, procedures, and sequencing of diagnoses.
Requirements
- At least three (3) years of hospital or surgical center coding experience within the last five years.
- Certification as a Certified Coding Specialist (CCS) or five (5) years of compensatory experience.
- Completion of classes in medical terminology, anatomy and physiology, ICD-9, ICD-10, and CPT coding conventions from an accredited program.
- Maintain current coding credential.
- Demonstrate knowledge and utilize auditing skills related to coding quality and compliance.
- Understand the clinical content of health records, including complex records.
- Ability to communicate effectively with physicians regarding coding.
Benefits
- Sign On Bonus of $5,000
