Sr. Coding Specialist, Pediatrics Surgery (100% REMOTE)

JOB SUMMARY:
Reviews, accurately assigns, and abstracts diagnostic and procedural codes to encounters using designated coding classification independently. Supports on-going training and development of staff.


KEY RESPONSIBILITIES:

• Organizes and prioritizes complex coding work to ensure compliance with regulatory requirements and hospital targets.
• Assigns the most appropriate diagnosis and procedures to reflect the utilization of resources during the patient encounter.
• Recognizes documentation clarification opportunities to ensure it supports all codes and designation assignments. Initiates coding queries or tasks.
• Serves as a clinical coding subject matter expert.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

MEDICAL CODING (ADVANCED): - The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.

MEDICAL TERMINOLOGY & DOCUMENTATION (ADVANCED): - The ability to comprehend medical terminology and documentation in an office, or surgical setting.

CRITICAL THINKING (ADVANCED): - The objective analysis and evaluation of an issue in order to form a judgment.

COMPLIANCE (ADVANCED): - Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally.

CORE ACCOUNTABILITIES:

• Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams.
• Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution.
• Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas.
• Team Interaction: Acts as a go-to resource for colleagues with less experience; may lead small project teams.