Certified Coding Specialist II

Location: Remote - TX Department: Administration Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical records documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and a mixture of different types of Evaluation & Management medical records. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Communicates with physicians and other providers regarding documentation requirements and collaborates with different departments within CCHCS on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education & Experience: High School Diploma. Required: CCS or CPC with (1) year minimum current and continuous full-time ICD-10-CM & CPT-4 ambulatory surgery and evaluation & management coding. Knowledge of medical terminology, anatomy and physiology and the disease process. Ability to work well independently and productively with minimal guidance and supervision. Detail-oriented, organized and flexible with exceptional interpersonal and communication skills. Demonstrates coding skills and critical thinking skills utilizing current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site evaluation prior to hire. Preferred: RHIA, RHIT Knowledge of health insurance processing. Skilled with electronic medical record applications, automated encoders, and other software applications. Heavy day to day communication and interaction with physicians. Knowledge of Plastics and Wound Care coding experience preferred. Certification/Licensure: Certified Coding Specialist (CCS) required or Certified Professional Coder (CPC) required. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) preferred. Hours: Monday to Friday: 8:00am to 5:00pm during training 6:00am to 6:00pm flexible after training Location: Fully Remote (Texas Resident Only) About Cook Children’s: Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care. At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible. Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination. Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.