• Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding) • Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records • Ensures diagnosis codes meet local and national medical necessity guidelines • Be knowledgeable of billing and coding requirements for governmental and private insurance payers • Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services • Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting • Review and resolves coding edits and denials • Assists with rebilling accounts when necessary • Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding • Follow all HIPAA regulations and uphold a higher standard around privacy requirements • Completes all assigned work in a timely manner based on internal and/or payer standards • Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate • Attending and reporting at weekly team calls with Director of Medical Coding Compliance • Reporting coding patterns identified within the coding process to management • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials • Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes • May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation

• Provide coding of medical records and any applicable supporting documentation • Codes records to assign ICD-10, CPT, and modifiers in accordance with coding guidelines • Meets quality and productivity standards and deadlines/turnaround times • Assigns indicated account and claim data attributes as indicated (POS, revenue code, implant pricing) • Demonstrates thorough understanding of how work impacts the project/end customer • Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical data received, and appropriate alerts and/or queries indicated by the party or supervisor • Reviews and correctly responds to AR tasks related to pre-claim edits pertaining to coding and post-submission denials • Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team • Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours • To ensure the security and confidentiality of all clinical data handled, including the safekeeping of all health records • To function as the first point of contact regarding coding issues • To promote the interchange of dialogue between nimble management and coders • To have an active involvement in the development and implementation of current information relevant to medical/surgical coding • To be aware of all statutory and local requirements regarding coding policy changes • Assist with client billing questions in a professional and timely manner • Complete coding queues and AR queries as assigned • Address client concerns in a prompt and professional manner • Participate in task force committees and special projects, as required • Assist with client audits, as needed

The Part-Time Coding Advocate will handle medical coding and data entry / abstraction for various types of Hospital visits: Inpatient, Outpatient, Ambulatory, Surgery, Emergency and Special Procedures. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: - Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG. - Outpatient: Correctly assigns modifiers to chargemaster items and coder assigned CPT codes as applicable to outpatient coding, as appropriate. - Outpatient Surgery: Correctly assigns CPT codes to outpatient procedures consistent with client contract and documentation in the record. - Emergency Room: Correctly assign diagnosis codes, assign appropriate E&M facility and/or profee levels, assign infusion and injection CPT codes. - Ability to create compliant physician queries. - Accurately review claims for medical necessity. - Update problem lists consistent with client contract. - Correctly assign present on admission indicators. - Ability to provide excellent customer service to our clients and teammates. - Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole. - Floats between multiple sites, and coding specialties with ease and flexibility. Minimum Requirements: Education/Experience/Certification Requirements - 2 year degree or equivalent experience; AHIMA or AAPC certification required - Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC - Minimum of 1 year experience coding inpatient/facility - CABG/Heart Cath accounts - Meets or exceeds Quality and Productivity standards. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently, and as a team member. - Excellent communication (written and oral) and interpersonal skills. - Strong organizational, multi-tasking, and time-management skills. - Must be detail oriented and able to follow through on issues to resolution. - Must be able to act both independently and as a team member. Preferred Qualifications: - 2+ years of coding experience in multiple patient types - Experience coding and charging injections and infusions Business Support

• Monitor, review and apply correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. • Identify and apply diagnosis codes, CPT codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. • Ensure that billing discrepancies are held and corrected. • Compare and reconcile daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges and manual data entry. • Maintain records to be used for reconciliation and charge follow up. • Investigate and resolve charge errors. • Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. • Manage professional held claims within the CCF claims processing system. • Review, abstract and process services from surgical operative report. • Review, communicate and process physician attestation forms. • Communicate with physicians and other CCF departments (co-surgery) to resolve documentation discrepancies. • Assist with Evaluation and Management (E&M) audits and other reimbursement reviews. • Review and resolve E&M denials within the denial database. • Capture appropriate charges in accordance with CMS billing rules and regulations.