About Springfield Clinic
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Springfield, IL, US
Year founded
1939
$23.26 - $33.72/hr
Full-time
Posted 15 days ago
Springfield Clinic rating
6.6
Based on 57 frontline employees who took The Breakroom Quiz
554th of 864 rated healthcare providers
Job description
Job Description
This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines
Job Relationships
Reports to the Coding Unit Manager
Principal Responsibilities
Education/Experience
Licenses/Certificates
Knowledge, Skills and Abilities
Working Environment
PHI/Privacy Level
HIPAA1
This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines
Job Relationships
Reports to the Coding Unit Manager
Principal Responsibilities
- Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.
- Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.
- Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS - all levels, and any other coding classification systems that may be required).
- Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
- Communicates with hospitals/physicians to obtain additional documentation when needed to complete coding documentation requirements.
- Responsible for charges to be posted in a timely fashion as directed by the Manager.
- Assist other staff employees as necessary including training fellow coders in specialties of expertise.
- Assist the Director or Manager with all projects in related scope of job knowledge and responsibility.
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Perform other job duties as assigned.
Education/Experience
- High School graduate or GED minimum required: College degree in health-related field preferred.
- Coding experience in Professional & Facility Coding
- 2 years of experience as a certified coder preferred
Licenses/Certificates
- Must have one of the following AHIMA or AAPC certifications: CPC, CCS, CCS-P, RHIT, RHIA
Knowledge, Skills and Abilities
- Expert knowledge of CPT, HCPCS, E/M leveling, Modifiers and ICD-10-CM diagnostic coding required.
- Proficient computer skills using MS-Word, Excel, PowerPoint, Outlook, Teams, Microsoft Edge, and EncoderPro.
- Preferred knowledge using Athena, Ingenious Med and RCX.
- Utilize Official Guidelines for Coding and Reporting, Coding Clinics and CPT for coding accuracy.
- Provide excellent customer service internal and external and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Strong analytical and communication skills.
- Attend, as directed, conferences, in-services and workshops toward further professional development and job knowledge.
- Maintain credentialing CEUs
- Follow all Clinic operation procedures and policies.
Working Environment
- In office, remote optional based off productivity/accuracy standards
PHI/Privacy Level
HIPAA1
What Springfield Clinic employees say
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Benefits
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Frequently asked questions
Q: What skills or qualities help someone succeed as a Certified Coder?
A: To succeed as a Certified Coder, one must possess strong technical skills in medical coding systems, such as ICD-10 and CPT, as well as proficiency in electronic health records (EHRs) and coding software. Additionally, effective communication, attention to detail, and analytical skills are essential soft skills, enabling coders to accurately assign codes, resolve discrepancies, and collaborate with healthcare professionals. By combining these technical and soft skills, Certified Coders can ensure accurate and compliant coding, supporting career growth and effectiveness in the role.
Q: What is the career path for a Certified Coder?
A: A Certified Coder typically starts as a Coding Specialist or Entry-Level Coder, responsible for accurately assigning medical codes to patient records. As they gain experience, they progress to mid-level roles such as Senior Coder or Coding Auditor, where they oversee coding quality, conduct audits, and provide education to staff. Senior-level positions, like Coding Manager or Director of Coding, involve strategic planning, team leadership, and compliance with regulatory requirements, offering opportunities for long-term career growth and advancement in healthcare administration or consulting.
