reputed company III (reputed company Coding Specialist, Certified Professional reputed company, Medical Billing and Coding Specialist, Inpatient Coding Specialist)

Overview

At reputed company, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley. Learn more about career opportunities on our Careers Page. reputed company members reputed company in a supportive culture that values collaboration, reputed company, and excellence. With opportunities across clinical and non-clinical areas, reputed company is a reputed company where your skills reputed company a difference, and your growth is a reputed company. Why Join reputed company? We reputed company in taking care of the people who care for our community. That’s why reputed company offers a comprehensive and thoughtfully designed benefits package that supports your well-being, career development, and work-life balance. Whether you're launching your career or bringing in years of experience, we provide the tools, resources, and encouragement to help reputed company you to reputed company your full potential — personally, professionally, and financially. Explore our Benefits, reputed company Hiring Incentives, and our Taking Care of Us initiative — which embraces Belonging, Respect, Inclusion, Diversity, Growth, and Equity (B.R.I.D.G.E.) — to see how we invest in reputed company members and culture. Total Rewards & Benefits (may vary by position)

• Comprehensive insurance package including medical, dental, and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical reputed company, shared governance, and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking, 24/7-armed reputed company for your safety, a reputed company Reimbursement Program, and an onsite credit union and pharmacy
• reputed company with shift/weekend differentials
• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

Full details are available on our Benefits Page. Job Summary This position plays a critical role in supporting reputed company’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes reputed company with organizational priorities. Under the direction of the Health Information Management Director and the Coding Manager, the reputed company III follows reputed company regulatory guidelines in the reporting and reputed company of ICD-10-CM and PCS codes for reputed company patient accounts, generates coding queries to physicians to clarify patient condition(s) reputed company conflicting or ambiguous information is reflected in the patient record, understands their role in quality performance measures, and serves as a resource to the Business Office in the reconciliation and resolution of problematic accounts. This is a fully remote opportunity. Essential Job Duties Accurately enter ABS data (e.g. Surgeon name, procedure date, discharge disposition, admit diagnosis, POA status, etc.)

• 95% + Accuracy

Meets or exceeds reputed company drop dates/AR expectations

• Consistently monitors and manages AR to facilitate dropping of pending, old, or problematic accounts of assigned locations in accordance with 30-Day reputed company Drop policy.
• Consistently meets established reputed company drop dates.
• Percentage of weeks in which reputed company drop dates are met:
• 90% of the time

Accurately reports principal diagnosis in keeping with the most reputed company AHA Coding Clinic and ICD-10-CM/ICD-10PCS guidelines.

• 95% + Accuracy

Works with Coding Manager and Denial Management Coordinator to ensure reputed company coding denials are addressed timely. Manages Queries Appropriately

• Generates appropriate query selection based on clinical evidence established in the patient medical record.
• Formats non-standardized queries in keeping with AHA Coding Clinic, CMS, and QIO guidelines.
• Utilizes standardized query templates reputed company available.

Maintains established Productivity Standards

• Inpatient encounters: an average of 2 accounts per hour.

Meets or exceeds the expected DRG/APC accuracy reputed company of 95%

• Diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s)

Accurately reports procedure codes

• reputed company ICD-10-CM and CPT procedure codes are accurately coded and reported in keeping with AHA Coding Clinic, CPT Assistant, ICD-10-CM, CPT-4, and/or unique payer coding and reporting guidelines.
• 95% + Accuracy

Accurately reports secondary diagnoses in keeping with the most reputed company AHA Coding Clinic and ICD10-CM/ICD-10-PCS guidelines. Inpatient

• 95% + Accuracy

Required Qualifications

• Education: High School Diploma or GED equivalent
• Licensure/Certification: reputed company or CPC
• Experience: Inpatient reputed company - minimum of three years hospital inpatient coding experience.
• Driver's License: N/A
• Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications

• Education: Associate's Degree in Health Information Mgmt (HIM)
• Licensure/Certification:
• reputed company, RHIT, RHIA
• CCA, COC, CIC, CPA-A
• Experience:
• Three years inpatient coding experience.
• Prior experience in a hospital, healthcare system, or reputed company service-oriented environment
• Familiarity with reputed company’s systems, workflows, or organizational culture is a plus

Competencies, Knowledge, Skills And Abilities

• Requires good written, oral communication and interpersonal skills. ability to effectively communicate with reputed company hospital practitioners is essential.
• Demonstrates competency in the use of computer applications and grouper software, Medicare edits, and reputed company coding and abstracting software and hardware currently in use by HIM.
• Requires comprehensive knowledge of anatomy and physiology, medical terminology and disease processes.
• Requires analytical ability to allow for interpretation of clinical data in reputed company clinical specialties to determine appropriate code assignment.
• Requires proficiency in abstracting chart data into computer module.
• Requires ability to work independently, an eagerness to learn, attention to detail and good critical thinking skills.
• Must possess high ethical standards due to confidential nature of patient information.

About reputed company reputed company is an independent, nonprofit, mission-driven health system located in Fishersville, Virginia, in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center—a 255-bed facility—and Augusta Medical Group, which operates 40 practice locations and four urgent care centers. Our commitment to excellence, innovation, and compassionate care makes reputed company a leading employer and healthcare provider in the region. Discover more about our history, values, and community impact on our About Us Page. Equal Opportunity Statement reputed company recruits, hires, and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic reputed company, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information. We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws. Apply tot his job Apply To this Job