Role Description This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. - Ensures high quality documentation that is thorough, accurate, and complete to ensure correct reimbursement capture. - Assigns diagnostic and procedure codes to simple record types up to highly complex record types. - Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules, and regulations. What you will do: - Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. - Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. - Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete, or conflicting information and obtain any needed additional documentation. - Contacts and works with physicians as needed for clarification of details to ensure correct coding. - Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural, and complication codes to all claims while meeting billing requirements of various payers. - Coding accuracy must be maintained at 90% or better. - Meets productivity per standards set by nationally recognized organization and specialty specific levels. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. - Participates in specialty specific coding training. - Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers, and feedback from Administration. - Works closely with VP/ Medical Director of RMG. - Assists patient financial services with questions on coding and billing edits. - Mentors and assists in training of other coders within the department. - Participates in the development of coding policies and procedures as identified. - Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Qualifications - High School Diploma or GED, Minimum (Required) - 1 year ICD1 Coding (Medical Practice) (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

• Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. • Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. • Review the medical record to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. • Abstract information from medical records following established methods and procedures. • Review the complex medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. • Ensure quality and quantity of work performed through regular audits. • Assist with research, development, and presentation of continuing education programs on areas of specialization. • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs.

• The Coding Specialist analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. • Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers.

• Ensuring accurate and appropriate gathering of information into the coding classification systems • Coding of moderately complex patient classes • Obtaining accurate and complete documentation in the medical record for coding assignment.