HOSPITAL CODING SPECIALIST I at Riverside Healthcare

Rhu, Scotland, United Kingdom -

Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

0.0

Posted On

31 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10-CM Coding, CPT Coding, Medical Abstracting, Medical Terminology, Human Anatomy, Physiology, APC Classification, EAPG Classification, Medical Necessity Verification, Error Reconciliation, Patient Classification Systems, Professional Communication, Problem Solving, Detail Orientation, Time Management, Customer Relations

Industry

Hospitals and Health Care

Description

Overview The Hospital Coding Specialist at Riverside Healthcare is responsible for accurately coding and abstracting outpatient and Home Health medical records to ensure compliant coding of assigned accounts. This role plays a vital part in achieving appropriate reimbursement, indexing, statistical reporting, and compliance requirements and will demonstrates flexibility with assignments within professional scope/duties/licensure. The Specialist also assists with end-of-month processes, backlog completion, and error reconciliation, including verifying the medical necessity of minor procedures/diagnostics. This position requires the ability to work independently in a fast-paced environment, effectively prioritize tasks, and shift focus as needed. The ideal candidate will have a customer-focused attitude and professional demeanor in all interactions. Essential Duties Accurately assign and sequence appropriate ICD-10-CM and CPT codes for all diagnoses, procedures, signs, symptoms, and conditions documented in medical records. Participate in the coding of outpatient and Home Health medical records for the purpose of reimbursement, indexing, and statistical reporting. Ensure compliance with all recognized coding guidelines and standards. Assign appropriate modifiers to CPT codes to fully describe the services rendered. Actively participate in end-of-month and backlog reconciliation processes, including verifying the medical necessity of procedures and resolving errors. Enter abstracted data into the Affinity system and verify accuracy of downloaded information. Classify cases into appropriate patient classification systems, such as APC (Ambulatory Payment Classifications) and EAPG (Enhanced Ambulatory Patient Groups). Review and respond to APC, Outpatient Code Editor (OCE), Correct Coding Initiative (CCI), and medical necessity edits identified during the encoder session to ensure compliance and optimize reimbursement. Complete or reassign records within coding queues to reflect the status of each account handled. Verify that all physicians involved in the patient's care are correctly documented in the abstract. Participate in ongoing education and training opportunities to improve coding skills and maintain certification. Non-essential Duties Assist with additional clerical or administrative tasks that may contribute to overall department efficiency but are not directly related to coding and abstracting. Provide general support in special projects or team initiatives when needed. Responsibilities Preferred Experience Strong working knowledge of ICD-10-CM, PCS, and CPT coding principles. Understanding of Official Coding Guidelines. Background in medical terminology, human anatomy/physiology, and disease processes. Knowledge of patient classification systems applicable to daily work (e.g., APCs, EAPGs). Ability to read and write in English. Detail-oriented with a commitment to accuracy and an ability to problem solve effectively. Previous experience with coding in a healthcare setting, particularly involving outpatient and emergency department records, is preferred. Polished communication and customer relations skills to effectively work with other healthcare professionals. Ability to work independently in a fast-paced environment and manage multiple tasks effectively. Strong attention to detail and a commitment to accuracy in coding and abstracting. Ability to problem solve and verify the accuracy of essential information. Excellent interpersonal skills with a customer-focused attitude and a mature, professional demeanor in all interactions. Required Licensure/Education Current certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), and/or Certified Coding Specialist (CCS) is required. Candidates without any of these certifications must sit for certification within one year of hire. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes: Compensation Base compensation within the positions pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift differential, on-call Opportunity for annual increases based on performance Benefits - .5 to 1.0 FTE Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Benefits - .001 to .49 FTE: Paid Leave Hours accrued as you work Employee Health Requirements Exposure/Sensory Requirements: Exposure to: Chemicals: Alcohol, hydrogen peroxide, Betadine, cleaning products. Video Display Terminals: Average Blood and Body Fluids: Performs venipuncture and non-blood specimen collection and performs finger sticks for specimen testing, but the use of universal precautions and protection reduces risk. TB or Airborne Pathogens: Minimal - if a patient is infected, it is possible that the health care worker would be exposed, but it is greatly diminished by adherence to universal precautions. Sensory requirements (speech, vision, smell, hearing, touch): Speech: Needed for presentations/training, telephone communication, facilitate meetings, patient communication. Vision: Needed to read memos, literature, draw blood, and perform specimen handling. Smell: Electrical/fire safety. Hearing: Needed for telephone communications, meetings, and listening to employee and patient concerns. Touch: Needed to write, do computer entry, filing, draw blood and perform specimen handling. Activity/Lifting Requirements: Percentage of time during the normal workday the employee is required to: Sit: 15% Twist: 2.5% Stand: 30% Crawl: 0% Walk: 30% Kneel: 0% Lift: 5% Drive: 2.5% Squat: 5% Climb: 2.5% Bend: 5% Reach above shoulders: 2.5% The weight required to be lifted each normal workday according to the continuum described below: Up to 10 lbs: Frequently Up to 20 lbs: Occasionally Up to 35 lbs: Occasionally Up to 60 lbs: Occasionally Up to 75 lbs: Not Required Up to 100 lbs: Not Required Over 100 lbs: Not Required Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): ). Putting away supplies. Lift above the head occasionally to place boxes on high storage shelves. Carry boxes up and down the stairs - distances up to 100 feet. Maximum consecutive time (minutes) during the normal workday for each activity: Sit: 30 Twist: .5 Stand: 30 Crawl: 0 Walk: 2 Kneel: 0 Lift: 5 Drive: 30 Squat: 1 Climb: .5 Bend: .5 Reach above shoulders: .5 Repetitive use of hands (Frequency indicated): Simple grasp up to 15 lbs. Normal weight: continuous Pushing &pulling Normal weight: 50-200# Fine Manipulation: Writing, keyboarding, restocking supplies, specimen handling, venipuncture, assisting examiner. Repetitive use of foot or feet in operating machine control: Not Required Environmental Factors & Special Hazards: Environmental Factors (Time Spent): Inside hours: 8.5 Outside hours : 0 Temperature: Normal Range Lighting: Average Noise levels: Average Humidity: Normal Atmosphere: Special Hazards: Protective Clothing Required: Gloves when handling blood and body fluids. Pay Range USD $24.12 - USD $29.50 /Hr

Responsibilities

Responsible for accurately coding and abstracting outpatient and Home Health medical records to ensure compliant reimbursement and statistical reporting. The role involves managing coding queues, resolving errors, and verifying the medical necessity of procedures.