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TriHealth

Founded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h

Coding Specialist I

Location

United States

Posted

61 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coding Specialist I

TriHealth

Role Description Join TriHealth as a Coding Specialist I! At TriHealth, our Medical Coding Specialists play a key role in supporting accurate, compliant, and high‑quality patient care. In this position, you’ll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices. Qualifications - Coding certification (CPC‑A, CPC, CCS‑P, or CCA) - Strong knowledge of ICD‑10‑CM/CPT guidelines - Solid foundation in anatomy, physiology, and medical terminology Requirements - High School Degree or GED - CPC-A, CPC, CCS-P, or CCA certification - Knowledge of ICD-10-CM and CPT Coding Guidelines - Understanding of medical terminology, anatomy, and physiology - Experience in related fields Benefits - Comprehensive benefits package including medical, dental, and vision - Paid time off - Retirement plans - Tuition reimbursement Job Responsibilities - Assist with coding/billing questions from both internal and external customers - Follow up on denials, research, and review charts for potential coding issues - Follow up with providers on any documentation that is insufficient or unclear and escalate where necessary - Communicate with other clinical staff regarding documentation trends - Maintain a close working relationship with all departments and internal customers, including leadership - Ensure understanding and compliance with coding protocols, rules, and regulations from government agencies and insurance companies - Maintain knowledge of current coding revisions and effectively communicate changes with providers - Maintain accurate and current CPT and ICD-10-CM resources within the billing and clinical systems - Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes - Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly - Ensure that all codes are current, active, and billable according to CCI Other Job-Related Information - Successful completion of a certification program from an accredited organization - Strong knowledge of anatomy, physiology, and medical terminology - Excellent typing and 10-key speed accuracy - Commitment to a high level of customer service - Superior mathematical skills - Familiarity with ICD-10 codes and procedures - Solid oral and written communication skills - Working knowledge of medical jargon and anatomy preferred - Able to work independently Working Conditions - Climbing - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Hearing: Other Sounds - Frequently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting <10 Lbs - Rarely - Lifting 50+ Lbs - Rarely - Lifting 11-50 Lbs - Rarely - Pulling - Rarely - Pushing - Rarely - Reaching - Rarely - Reading - Consistently - Sitting - Consistently - Standing - Frequently - Stooping - Rarely - Talking - Frequently - Thinking/Reasoning - Consistently - Use of Hands - Occasionally - Color Vision - Rarely - Visual Acuity: Far - Frequently - Visual Acuity: Near - Frequently - Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces. - Excel: ALWAYS recognize and take personal responsibility for service breakdowns and offer patients priority when waiting. - Respect: ALWAYS respect cultural and spiritual differences, everyone’s opinion, and speak positively about team members. - Value: ALWAYS value the time of others, keep the environment clean, and be a good steward of resources. - Engage: ALWAYS acknowledge wins and show courtesy and compassion with customers and team members.

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