Hospital Coding Specialist I

Responsible for reviewing and coding medical record documentation for lower complexity hospital outpatient services, primarily Clinic and Emergency Department accounts across JHHS entities. Assigns ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers based on medical record documentation to support accurate and compliant claim submission. 

Reviews clinical documentation and abstracts required data elements in accordance with Federal, State, CMS, HSCRC, and organizational coding and billing guidelines. Utilizes electronic health records, computerized encoders, and revenue cycle systems to resolve routine coding edits and claim issues for assigned account types. 

Works collaboratively with providers and departments to obtain clarification on documentation as needed and to resolve missing or incorrect charges within assigned areas. Organizes and prioritizes work to meet productivity and quality standards while developing proficiency in coding guidelines, regulatory requirements, and organizational workflows. 

This is an entry-level coding position focused on developing coding knowledge, accuracy, and productivity. Maintains and expands knowledge of coding and sequencing guidelines and participates in quality assurance and educational activities to support ongoing professional development. Works under general supervision and guidance and collaborates as a member of the HIM and Coding team