HIM Coding Specialist

Arkansas Hospice


Position Title:

HIM Coding Specialist


Health Information Management (HIM)

Reports To:

HIM Director/Privacy Officer


Job Description:

The purpose of this position is to assign appropriate ICD-10-CM , CPT, and HCPCS code(s) to patient health information, as documented in the medical record for data retrieval, data analysis, and proper reimbursement. Additional responsibilities include: assistance with ICD-10-CM ongoing staff education on yearly coding updates, conducts focused coding education for staff, performs audits, prepares reports, and participates in other HIM department functions as assigned.

Required Qualifications:

Associate Degree in Health Information Management with RHIT preferred. If not degreed, must have in-depth knowledge of anatomy and physiology and pathophysiology, as it relates to coding. Knowledge of basic pharmacology is a plus. Formal education and/or proven knowledge of the ICD-10-CM coding system required. CCS, CCS-P, and/or CPC coding credential required.

A minimum of three (3) years coding in a hospital, outpatient facility, physician’s office or other healthcare setting required. Must have experience in the assignment of ICD-10-CM, CPT, and HCPCS codes to medical record documentation. Expert knowledge of coding principles and guidelines related to regulatory compliance.

Additional Requirements:
Must have valid driver’s license, automobile insurance, personal vehicle, ability to travel between locations and work flexible hours.

Primary Responsibilities:

  1. Upon admission, reviews clinical documentation and assigns the primary and secondary ICD-10-CM code(s) and identifies co-morbidities.
  2. Reviews and performs ongoing monitoring of ICD-10-CM code assignment for coding accuracy through regular and focus audits.
  3. Educates clinical staff on the choice of appropriate ICD-10-CM codes based on their clinical documentation, in order to meet regulatory guidelines and support of maximum reimbursement. Discusses alternative codes and possible additional documentation as wells as educates staff, as needed.
  4. Serves as a resource for directors, managers, physicians, clinicians, and administrative staff to obtain coding information or coding clarification, as needed.
  5. Coordinates with the Quality and Education department staff regarding issues identified in coding audits.
  6. Coordinates with the HIM Director and Compliance Officer/Risk Manager as needed.
  7. Reviews and assigns CPT codes to physician visits for all service lines that have been identified on billing sheets, Electronic Medical Record (EMR) documentation, or other electronic system(s).
  8. Proficient in Worldview to back up the HIM Tech or APC Coordinator, if needed.
  9. Queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous, missing, or unclear for coding purposes.
  10. Reconciles physician visits with EMR reports to ensure all visits that have been captured and submits weekly to the Patient Accounts Department. Collaborates on any discrepancies for correction. Keeps the HIM Director and the Patient Accounts Manager informed. .
  11. Knowledge about Arkansas Palliative Care (APC) processes in order to serve as a backup to the APC Coordinator.
  12. Cross-trained in other duties within the HIM department
  13. Maintains strict confidentiality at all times.
  14. Utilizes and models excellent customer service skills at all times; seeks opportunities to assist patients, families and co-workers; demonstrates teamwork and cooperation.
  15. Accepts direction and follows instructions from supervisor; seeks additional information as needed; works with minimal supervision.
  16. Adheres to all organizational and departmental policies and procedures.
  17. Continually meets organizational standards for attendance and punctuality; notifies supervisor in a timely manner when employee will be absent or late for work.
  18. Attends all required meetings and inservices; seeks opportunities for additional professional development activities as appropriate.
  19. Completes special projects and other duties as assigned by HIM Director.

Competencies, Knowledge, Skills and Abilities


 Competent in the use of electronic medical records systems Microsoft Office,  Worldview, and online research for coding issues.

  1. Skill in organizing and prioritizing workloads to meet deadlines.
  2. Ability to communicate effectively both orally and in writing with co-workers and physicians.
  3. Ability to follow basic safety policies and procedures.
  4. Ability to use good judgment and to maintain confidentiality of information.
  5. Ability to work as a team player.
  6. Ability to demonstrate tact, resourcefulness, patience and dedication.
  7. Ability to accept direction and adhere to policies and procedures.
  8. Ability to work in a fast-paced environment and manage multiple priorities.

Apply Online: http://www.arkansashospice.org

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