The Coding Specialist 3 reviews and codes treatment and procedure information from inpatient and/or outpatient medical records for the purpose of providing medical coding information for appropriate billing of health care services and professional fees, input to research on specialized health care subjects, for registration with national and state registries, to provide data for research and to ensure hospital and physician compliance with Federal, State, and Joint Commission on Accreditation of Hospitals and the American College of Surgeons regulations and guidelines.

Medical Record Review:

• Reviews record of patient encounters, enters pertinent patient data, diagnosis(es) and procedures (s) into Epic. The duties involve reading and understanding complex medical data from various medical otolaryngology subspecialties, translating data into ICD-10-CM and CPT codes. Enters and/or verifies patient identification information; enters ICD-10-CM diagnosis(es) and procedure(s) codes as well as CPT/HCPCS codes.
• Utilizes ICD-10-CM, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-10-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT.
• Utilizes reference journals and training seminars to learn about and understand changing medical technology, new diseases, new treatments, new drugs, and experimental procedures used in clinics, hospitals, and research facilities.

Education: In conjunction with the Provider Educator and the Integrity Department, provides education to medical providers and departments regarding coding, billing and documentation requirements relative to CMS.

Administrative Support: Provides surgical code requests to surgery schedulers for prior authorization. Responsible for assigned UMG WQ’s. Assists with denials by submitting charge corrections or appeals for follow-up. Maintains the ENT Coder in box, and updating/maintaining the surgery spreadsheet for auditing and tracking of surgical cases.

• High School diploma or GED
• Minimum four years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding
• Knowledge of CPT, ICD-10-CM, and HCPCS.
• Understanding of the Revenue Cycle
• Ability to work as a team player in a close proximity environment;
• Proficiency with word processing and excel spreadsheets
• Medical terminology
• Strong communication and negotiating skills both verbal and written with ability to effectively communicate with individuals at all levels, including physicians, nurses, administrative management, etc.
• Understanding of surgical prior authorization process;
• Proven ability to research and analyze data
• Read, interpret and apply policies, procedures, laws and regulations.
• Read and interpret medical procedures and terminology;
• Prepare reports and related documents;
• Maintain confidentiality;
• Influence/coordinate efforts of others over whom one has no direct authority.
  Self starter with proven organizational skills and strong attention to detail
  Ability to meet deadlines under pressure
• Certification in one of the:
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
• Active membership in the American Academy of Professional coders within the first year of employment

• Previous Otolaryngology and/or academic setting experience.
• Full OHSU EPIC training
  
  • Cadence
  • Resolute
  • EARL

Monday – Friday 8-430pm. This is a remote position.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.