AHIMA Certified Coding Specialist (CCS)

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Join a dynamic healthcare team in the Midwest region as a skilled Coding Specialist focused on Health Information Management. In this role, you will meticulously review clinical documentation and diagnostic results to extract data and assign accurate ICD-10 CM, ICD-10-PCS, and CPT/HCPCS codes for billing, reporting, research, and regulatory compliance. Your expertise will cover a variety of hospital coding areas including Ancillary, Emergency Department, Inpatient, Outpatient Surgery, Obstetrics, Infusion, and Long Term Care.Key ResponsibilitiesAdhere to the ethical coding standards established by the American Health Information Management Association (AHIMA) and follow official coding guidelines.Apply ICD-10 CM diagnosis and ICD-10-PCS procedure codes to accurately represent patient visit documentation, identifying relevant MS-DRG and APR-DRG classifications that impact reimbursement.Maintain effective communication and collaboration with physicians, clinical staff, and billing teams to ensure accurate coding and satisfactory reimbursement outcomes.Utilize coding software and resources to code inpatient services, including procedures and diagnoses, while abstracting required data elements such as present on admission (POS) and discharge status.Communicate coding issues and queries effectively with providers and Clinical Documentation Improvement Specialists to ensure documentation supports accurate coding and revenue capture.Serve as a resource for coding questions and billing edit resolutions, managing your coding workload independently while applying complex coding principles.Comply with HIPAA regulations to protect patient health information confidentiality.Maintain a coding accuracy rate of 95% or higher and meet productivity standards based on patient classifications.Education and ExperienceAdvanced knowledge of Anatomy and Physiology, Medical Terminology, Pharmacology, and ICD-10 CM/PCS coding.Proven ability to apply Complications and Co-Morbidity (CC) and Major Complication/Co-Morbidity (MCC) conditions.Understanding of POA requirements, DRG, MS-DRG, and APR-DRG systems, including severity of illness and risk of mortality.Successful completion of courses in Anatomy and Physiology, Medical Terminology, basic ICD-10-CM/PCS coding, and CPT coding.Minimum of 2 years experience in Health Information Management, medical office, or healthcare environment.Preferred QualificationsICD-10 education and training.Three years of hospital inpatient coding experience.Licenses and CertificationsMust obtain professional coding certification within one year of employment.Preferred certifications include CCS, CCS-P, CPC, CPC-H, RHIT, or RHIA.Behavioral SkillsIntegrity: Demonstrates honesty and ethical behavior, inspiring others to uphold organizational values.Compassion: Exhibits empathy and excellent customer service, managing conflict with professionalism.Accountability: Takes ownership of projects and adapts flexibly to changing priorities.Respect: Collaborates effectively with diverse populations, maintaining a positive service orientation.Excellence: Strong communication and leadership skills, capable of guiding teams and facilitating process improvements.This position offers a competitive salary and benefits package, providing a meaningful opportunity to contribute to quality healthcare delivery in a supportive environment.