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Coding Specialist 2
US-OR-Portland
Job ID: 2025-34532 Type: Regular Full-Time # of Openings: 1 Category: Hospital/Clinic Support Portland, OR (Downtown)
Overview
Medical Record Review
Responsible for supporting multiple specialties within OB/GYN (including General OB/GYN/Family Planning, Urogynecology, Gyn-Oncology, Perinatology) and Center for Women's Health (Primary Care, Behavioral Health and Integrated Medicine) and Pediatrics. This position requires experience in coding and requires certification with AAPC or AHIMA. This position is responsible for reviewing and coding from clinical documentation abstraction, applying the correct coding CPT, ICD-10 and modifiers to evaluation and managements services and outpatient procedures. This position ensures that the documentation supports the levels or types of service billed, and ensures the documentation is following Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional services rendered at OHSU, outside clinics, and surgical centers where OHSU providers are rendering services. Requires maintaining an hourly productivity standard and quality standard as set by Women's & Children's Services Finance and based on Industry Standards. Coding Work Queue assignments will vary based on business needs or management assignment. Will require attendance at various meetings via conference call and Webex. Education Educates providers regarding coding and billing practices, and documentation requirements as it relates to charges they've submitted. Works with department leadership to orient peer coders, or new hires on specified coding assignments. Responsibilities
High School diploma or GED.Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;Coding certification from AAPC or AHIMA:Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Active AHIMA membership may be required for some positions. Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification. Qualifications
Completion of coding course through an accredited college or University. Current Coding Certificate from AAPC or AHIMAOBGYN, UroGyn, Primary Care, Psych, professional diagnostic radiology, behavioral health coding experience, Medicare AWV, OB Global package billing, Telehealth experience EPIC EMR experience Encoder experience Prior experience in an academic setting CMS regulations Job Related Knowledge, Skills and Abilities (Competencies): Proficiency with word processing and Excel spreadsheets. In depth knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and CMS guidelines Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, administrative management, Leadership, etc. Ability to work as a team player. Equal employment opportunity, including veterans and individuals with disabilities.
