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Full-time
professional certificate
Posted 22d ago
~40 hrs/week
Remote in United States
Responsibilities
Responsible for the timely and accurate coding of hospital and professional services using ICD-10 and CPT systems for reimbursement and statistics. This includes validating medical necessity, researching claim denials, and collaborating with providers to improve clinical documentation.
Requirements
Requires five years of previous coding experience and a valid AHIMA or AAPC certification. Candidates must possess strong knowledge of federal coding regulations and the ability to interpret complex medical records.
Full job description
Work Shift
Day
Scheduled Weekly Hours
40
Summary
This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-10-CM/PCS and CPT/HCPCS classification systems for the purpose of reimbursement, research, and statistics in compliance with federal regulations.
Job Description
Job Duties
Codes the correct principal/primary diagnosis consistent with established coding guidelines (95% or greater accuracy).
Identifies all significant diagnoses (complications and co-morbidities/HCCs) relevant to the type of visit and assigned appropriate codes.
Codes procedures as appropriate and identifies the principal procedure consistent with established coding guidelines.
Ensures all conditions coded adequately reflect the appropriate clinical severity and grouping assignment in accordance with documentation.
Follows official coding guidelines and directives and uses reference materials to ensure codes assigned are in compliance with state and federal regulations.
Validates accounts for medical necessity based on local medical review policies (LMRPs), national coverage determinations (NCDs), or payer guidelines.
Researches and validates claim edits and denials appropriately.
Obtains clarification and/or collaborates with the Provider, Clinical Documentation Specialist, and/or Internal Coding Auditor to improve overall quality and completion of clinical documentation in patient records to ensure accurate and complete coding.
Applies charge data as appropriate for services provided. Verifies level of service charged is supported by accompanying documentation.
Completes coding consistent with established production standards for type of service.
Verifies and corrects all abstract data captured.
Assists with new hire and current staff training as well as student internship coding training.
Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.
Department Specific Duties
For hospital services – Codes for 3 or more specialty services (e.g. inpatient, emergency, home health, outpatient surgery, observation).
For professional services - Codes 50% of more of time with specialty services (e.g. surgery, hematology/oncology, cardiology) or coordinates special projects/teams (e.g. provider newsletter, denials team).
Knowledge, Skills and Abilities
Knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and medical necessity guidelines.
Knowledge of various coding groupers used for various payers and types of encounters.
Ability to read and interpret medical record documentation including laboratory and pharmacology data.
Knowledge of Microsoft Office tools (excel, outlook, word).
Strong computer background with basic typing and keyboarding skills.
Work prioritization skills needed.
Ability to concentrate on detailed tasks for long periods of time.
Ability to work independently with frequent interruptions.
Excellent interpersonal communication (verbal, non-verbal, and listening) skills and written communication skills.
Knowledge of hospital payment systems and federal and state regulations related to billing, coding, and compliance.
Professional Experience
Five years previous coding experience required.
Education
Education sufficient to obtain certification.
Licensure, Certification, Registration
AHIMA or AAPC coding certification (e.g. RHIT, RHIA, CCA, CCS, CCS-P, CPC) is required.
Pay Rate Type
Hourly
Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.
Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.
There's More to The Mercy Touch®.
Words and pictures can only suggest our advanced technologies, our dedicated staff, and our compassionate philosophy. To be truly understood, The Mercy Touch must be experienced.
Since 1900, thousands of Mercy patients have received personalized health services and outstanding medical care. Today, Mercy is one of the largest employers in Cedar Rapids, Iowa, and the surrounding communities. More than 3,000 employee caregivers provide The Mercy Touch experience on a daily basis to both patients and their fellow employees.
We invite you to learn more about who we are, what we do, and the many ways we are improving life in our communities. Once you do, we think you will be eager to join us in our Mercy Touch commitment to our patients and one another. Learn more at www.mercycare.org/careers.
Offices: 701 10th Street SE, Cedar Rapids, Iowa 52403, US
Based on 1378 listings with disclosed salaries, most administrative jobs in Maryland pay between $50k–$110k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Maryland right now?
There are currently 4,062 open administrative positions in Maryland listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Maryland?
Companies currently hiring include John Hopkins University, Mercy Medical Center, Baltimore, MD, University System of Maryland, University of Maryland Medical System, PM Pediatric Care, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Maryland?
Yes — 810 of the 4062 open administrative positions offer remote or hybrid work (188 remote, 622 hybrid).
How do I apply for Administrative jobs in Maryland?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.