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Coding Specialist

Coding Specialist
Role Summary Coding Specialist is essentially entrusted with the role of performing CPT and ICD coding from appropriate clinical source-documents, in accordance with standards related to coding protocols and billing compliance.
Responsibilities Coding Specialist is broadly responsible for:
  • Abstracting and coding directly from the medical record.
  • Comprehensive and accurate coding and billing of such abstracted services.
  • Reviewing health management reports for coding accuracy, assigning codes if missing, and documenting opportunities when applicable.
  • Conducting remote chart reviews (extracting ICD codes from medical records) or assigning ICD codes to documentation received for comprehensive review.
  • Training physicians and other staff regarding documentation, billing and coding and for providing feedback to physicians regarding documentation practices.
  • May even be required to participate with Practice management in the oversight of certain Practice billing activities, as well as work with central billing on certain billing follow-up activities.
  • Performing various administrative and clerical duties required to support these functions and on an as-needed basis, may be required to perform other tasks that extend beyond just coding.
Performance Appraisal Coding Specialist’s efficiency is evaluated against:
  • Volume of coding executed for a certain period
  • Percentage increase in reimbursements
  • Reduction in denial, delay, or incidence of resubmission or follow up
  • Level of appreciation in internal coding practices
Salary The national average salary for coding specialists in the U.S. is $41,000 a year (figure taken from reliable industry sources); the figure may vary depending upon professionals’ level of expertise, location of practice, and the size of hospital or clinical facility.
Qualification Coding Specialist is required to be qualified with:
  • A 2-year program leading to an associate's degree in medical coding, health information technology or another closely related field
  • CPC Certification through The American Academy of Professional Coders (AAPC); candidates can opt to be Certified Professional Coders (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding Specialists for Hospitals (CCS-H),
  • Registered Health Information Technicians (RHIT), or Registered Health Information Administrators (RHIA) depending on their individual preferences
  • Basic grounding in ICD-10 coding practices
  • Knowledge of physician-specific regulations and polices related to documentation and coding.
Other skills that are intrinsic to the job are:
  • Being conversant with medical terminology, basic and advanced ICD-CM coding, anatomy and physiology, computer data entry, and medical law, privacy and ethics.
  • Advanced knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.
  • Demonstrated ability to work on computer-aided coding systems
  • Conversant with coding policy that is consistent with Medicare, Medicaid, and private health insurance plans.
  • Ability to think and independently decide on apt yet maximum-reimbursing codes
  • Excellent communication, interpersonal, and presentation skills
  • Prior coding experience in a hospital or clinical setting
Work Environment and Outlook
Coding Specialists work in hospitals, clinics, surgery centers, long-term care facilities, insurance companies, dental offices, home health care agencies, consulting firms, coding and billing services, and government agencies. They typically work under the supervision of the Health Information Manager or Chief Financial Officer.

Growth in job opportunities for Coding Specialists is expected to be somewhere between 15 to 20 percentage by 2020 (according to U.S. Bureau for Labor Statistics); increased coding scrutiny by Medicare and private health insurers, and the possible growth in coding volumes are believed to be primarily responsible for this likely surge.

Therefore, professionals in coding can look forward to lucrative career opportunities across the clinical destinations in the U.S.
Coding Specialists are encouraged to post their details with us to access the best opportunities across all US states and varied specialties.
If your hospital or clinic needs Coding Specialists, send us your requirements; we will find the ones matching your specialty and location

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