Tidelands Health
Overview
Provider Coding Specialist role at
Tidelands Health . Join Team Tidelands and help people live better lives through better health. Tidelands Health is the region’s largest health care provider and one of the area’s largest employers with more than 2,500 team members at more than 70 locations.
Under the supervision of the Coding Supervisor, the Provider Coding Specialist analyzes and assigns ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on medical information provided and in accordance with regulatory guidance and organizational policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracts required clinical information from the medical record, queries physicians as needed to clarify documentation for accurate code assignment, and prioritizes work to meet deadlines and goals.
What You Will Do
Analyze medical records, interpret documentation, and assign ICD-10-CM, CPT/HCPCS codes and modifiers using designated software and coding manuals.
Enter charges for procedures as instructed for certain patient types.
Consistently meet coding quality and productivity standards established by the coding department.
Collaborate with Patient Financial Services to review documentation and provide coding expertise; assist with coding inquiries from billing and administrative staff to ensure accurate reimbursement.
Gather and verify information required to produce a clean claim, including special billing procedures defined by payer or contract.
Review and resolve clearinghouse rejection errors, denials, and charge review/claim edits; process corrections for clean claim submission.
Collaborate with the Compliance/Quality Team on coding quality issues found via internal or external reviews; implement coding quality recommendations.
Work with HIM operations to clarify queries and documentation needs; query providers for clarification on incomplete or ambiguous documentation and follow up to ensure timely resolution.
Review and code Orthopedic, OB/GYN, and other surgical procedures with minimal supervision, ensuring correct coding and sequencing.
Provide continuous education and feedback to surgeons and clinical staff regarding ICD-10 coding and documentation best practices for surgical procedures.
Education Qualifications
High School Diploma Required
Experience Qualifications
2+ years of abstract coding for physician services Required
Minimum of four years of healthcare experience, with at least three years of professional coding experience in Orthopedics or OB/GYN Required
Experience working remotely Preferred
Skills And Abilities
Basic knowledge of ICD-10-CM, CPT/HCPCS coding principles and guidelines
Basic knowledge of medical terminology, anatomy, physiology, pharmacology, and reading medical records
Basic knowledge of Standards of Ethical Coding
Effective written and verbal communication
Ability to maintain working relationships with physicians and staff
Ability to review the work of others and maintain confidentiality
Microsoft Office applications knowledge (Excel, Word, PowerPoint, Outlook)
Strong analytical and organizational skills
Ability to work independently and manage multiple priorities
Desire to learn, adapt, and solve problems
Licenses and Certifications
Registered Health Information Administrator (RHIA) – AHIMA Required or
Registered Health Information Technician (RHIT) – AHIMA Required or
Certified Coding Specialist (CCS) – AHIMA Required or
Certified Coding Specialist - Physician-based (CCS-P) – AHIMA Required or
Certified Coding Associate (CCA) – AHIMA Required
Physical Demand Light Physical Demand
The intent of this job description is to provide a representative summary of duties and responsibilities and shall not be construed as a contract for employment. Employees may be directed to perform tasks other than those specified.
Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunities without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Tidelands Health by 2x
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Tidelands Health . Join Team Tidelands and help people live better lives through better health. Tidelands Health is the region’s largest health care provider and one of the area’s largest employers with more than 2,500 team members at more than 70 locations.
Under the supervision of the Coding Supervisor, the Provider Coding Specialist analyzes and assigns ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on medical information provided and in accordance with regulatory guidance and organizational policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracts required clinical information from the medical record, queries physicians as needed to clarify documentation for accurate code assignment, and prioritizes work to meet deadlines and goals.
What You Will Do
Analyze medical records, interpret documentation, and assign ICD-10-CM, CPT/HCPCS codes and modifiers using designated software and coding manuals.
Enter charges for procedures as instructed for certain patient types.
Consistently meet coding quality and productivity standards established by the coding department.
Collaborate with Patient Financial Services to review documentation and provide coding expertise; assist with coding inquiries from billing and administrative staff to ensure accurate reimbursement.
Gather and verify information required to produce a clean claim, including special billing procedures defined by payer or contract.
Review and resolve clearinghouse rejection errors, denials, and charge review/claim edits; process corrections for clean claim submission.
Collaborate with the Compliance/Quality Team on coding quality issues found via internal or external reviews; implement coding quality recommendations.
Work with HIM operations to clarify queries and documentation needs; query providers for clarification on incomplete or ambiguous documentation and follow up to ensure timely resolution.
Review and code Orthopedic, OB/GYN, and other surgical procedures with minimal supervision, ensuring correct coding and sequencing.
Provide continuous education and feedback to surgeons and clinical staff regarding ICD-10 coding and documentation best practices for surgical procedures.
Education Qualifications
High School Diploma Required
Experience Qualifications
2+ years of abstract coding for physician services Required
Minimum of four years of healthcare experience, with at least three years of professional coding experience in Orthopedics or OB/GYN Required
Experience working remotely Preferred
Skills And Abilities
Basic knowledge of ICD-10-CM, CPT/HCPCS coding principles and guidelines
Basic knowledge of medical terminology, anatomy, physiology, pharmacology, and reading medical records
Basic knowledge of Standards of Ethical Coding
Effective written and verbal communication
Ability to maintain working relationships with physicians and staff
Ability to review the work of others and maintain confidentiality
Microsoft Office applications knowledge (Excel, Word, PowerPoint, Outlook)
Strong analytical and organizational skills
Ability to work independently and manage multiple priorities
Desire to learn, adapt, and solve problems
Licenses and Certifications
Registered Health Information Administrator (RHIA) – AHIMA Required or
Registered Health Information Technician (RHIT) – AHIMA Required or
Certified Coding Specialist (CCS) – AHIMA Required or
Certified Coding Specialist - Physician-based (CCS-P) – AHIMA Required or
Certified Coding Associate (CCA) – AHIMA Required
Physical Demand Light Physical Demand
The intent of this job description is to provide a representative summary of duties and responsibilities and shall not be construed as a contract for employment. Employees may be directed to perform tasks other than those specified.
Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunities without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Tidelands Health by 2x
Get notified about new Coding Specialist jobs in Greenville County, SC.
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr