Ambulatory Coding Specialist 1

UnityPoint Health- Pain Center

Full-time; Monday-Thursday 8a-4:30p, Friday 8a-11:30a

Coding Specialist I review inpatient and outpatient medical records for documentation, abstracting and analyzing. Coders assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT and, HCPCS. With the ability to understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc. in compliance with payor regulations.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Coding and Department Support

• Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable.
• Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.
• Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.
• Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.
• Monitor environmental conditions in order to secure protected health information.
• Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site.
• Attend clinic/provider meetings as necessary per the Coding Supervisor and/or the Operations Coding Manager.
• Collection and/or analysis of coding-related data for training purposes or presentation as needed.

• Knowledge of ICD-9/ICD-10 diagnosis, Current Procedural Terminology (CPT), and HCPCS codes required

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) certification required within one year of hire

• Two (2) years of coding, charge entry, and/or medical office experience preferred

• Computer data entry experience preferred

• Knowledge of medical terminology, anatomy, and physiology

• Knowledge of medical billing and third-party reimbursement policies preferred

• Ability to understand and apply government and non-governmental policies and procedures preferred