Tidelands Health
Overview
Medical Coder/Coding Specialist II at Tidelands Health – responsible for analyzing and assigning ICD‑10‑CM, CPT, and HCPCS codes to outpatient, ED, and hospital accounts, ensuring coding compliance, resolving edits, and supporting reimbursement. The role involves coding, reviewing accounts, and training new coders.
Responsibilities
Analyze medical records and assign ICD‑10‑CM, CPT/HCPCS, modifiers, and E/M codes using designated software.
Enter non‑soft coded charges and code complex diagnostic and procedural accounts.
Process daily faced cases using appropriate work lists.
Collaborate with Patient Financial Service (PFS) to review documentation, write appeal letters, and support reimbursement.
Gather and verify all information for clean claims, including special billing procedures.
Review and resolve account checks, clearinghouse rejections, denials, and claim edits.
Collaborate with Compliance/Quality teams to address coding quality issues.
Work with HIM operations for documentation clarification.
Verify accurate abstracting of discharge disposition.
Assist in training new coders on coding policies and documentation guidelines.
Education Qualifications
High School Diploma or equivalent (Preferred).
Experience Qualifications
Minimum two years of progressive on‑the‑job coding experience in an acute care hospital, physician’s office, or successful completion of the Tidelands Health coding cross‑training program.
Skills And Abilities
Analyze clinical data and interpret information.
Knowledge of payer guidelines, MUE, Medical Necessity, LCD/NCD, HIPAA/Compliance.
Assign ICD‑10‑CM, CPT, or HCPCS codes to complex diagnoses and procedures.
Solid knowledge of hospital documentation, coding workflows, and terminology.
Apply Coding Clinic and other coding guidelines.
Write AHIMA‑compliant physician queries.
Compare documentation, code assignment, and charge for accuracy.
Research and respond to Business Office and payer questions.
Collaborate with PFS, Quality, Compliance, and facility leadership.
Functional knowledge of EMR, 3M encoder, CDI tool.
Use office equipment and automated systems proficiently.
Strong analytical, organizational, and independent working skills.
Research and problem‑solving abilities.
Handle multiple priorities and communicate effectively.
Licenses and Certifications
Registered Health Information Administrator – AHIMA (Required) or
Registered Health Information Technician – AHIMA (Required) or
Certified Professional Coder – AAPC (Required) or
Certified Coding Specialist – AHIMA (Required) or
Certified Outpatient Coder (COC) (Required).
Physical Demand Light Physical Demand.
Equity Statement: Tidelands Health is an equal‑opportunity employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, veteran status, or any other legally protected status.
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Responsibilities
Analyze medical records and assign ICD‑10‑CM, CPT/HCPCS, modifiers, and E/M codes using designated software.
Enter non‑soft coded charges and code complex diagnostic and procedural accounts.
Process daily faced cases using appropriate work lists.
Collaborate with Patient Financial Service (PFS) to review documentation, write appeal letters, and support reimbursement.
Gather and verify all information for clean claims, including special billing procedures.
Review and resolve account checks, clearinghouse rejections, denials, and claim edits.
Collaborate with Compliance/Quality teams to address coding quality issues.
Work with HIM operations for documentation clarification.
Verify accurate abstracting of discharge disposition.
Assist in training new coders on coding policies and documentation guidelines.
Education Qualifications
High School Diploma or equivalent (Preferred).
Experience Qualifications
Minimum two years of progressive on‑the‑job coding experience in an acute care hospital, physician’s office, or successful completion of the Tidelands Health coding cross‑training program.
Skills And Abilities
Analyze clinical data and interpret information.
Knowledge of payer guidelines, MUE, Medical Necessity, LCD/NCD, HIPAA/Compliance.
Assign ICD‑10‑CM, CPT, or HCPCS codes to complex diagnoses and procedures.
Solid knowledge of hospital documentation, coding workflows, and terminology.
Apply Coding Clinic and other coding guidelines.
Write AHIMA‑compliant physician queries.
Compare documentation, code assignment, and charge for accuracy.
Research and respond to Business Office and payer questions.
Collaborate with PFS, Quality, Compliance, and facility leadership.
Functional knowledge of EMR, 3M encoder, CDI tool.
Use office equipment and automated systems proficiently.
Strong analytical, organizational, and independent working skills.
Research and problem‑solving abilities.
Handle multiple priorities and communicate effectively.
Licenses and Certifications
Registered Health Information Administrator – AHIMA (Required) or
Registered Health Information Technician – AHIMA (Required) or
Certified Professional Coder – AAPC (Required) or
Certified Coding Specialist – AHIMA (Required) or
Certified Outpatient Coder (COC) (Required).
Physical Demand Light Physical Demand.
Equity Statement: Tidelands Health is an equal‑opportunity employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, veteran status, or any other legally protected status.
#J-18808-Ljbffr