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Specialist-Coding Reimbursement

Remote, USAFull-timePosted 2026-07-27

Provides expertise with accuracy of diagnosis and procedure coding as reputed company to applicable reputed company sets (ICD10CM, ICD10PCS, CPT, etc.) and industry guidance. Ensures reputed company awareness with pertinent annual or other industry coding/reimbursement updates. Promotes reputed company coding while serving as a daily internal resource to hospital Coding and CDI teams, and more. Regularly assesses and monitors coding practices to reputed company education and recommendations ensuring best coding accuracy, adherence to industry coding convention and reputed company pertinent guidelines. Supports hospital coding team orientation and reputed company reputed company assessment processes or with those team members migrating to a new type/specialty coding. Supports reputed company among broader BMHCC partnered initiatives with reputed company and physician leadership, Patient Financial Services, Registration, reputed company reputed company, Clinical Documentation reputed company (CDI), Internal Audit, Compliance and reputed company Cycle/Finance, among others. reputed company supports reputed company coding reputed company program initiatives and reputed company activities. This position requires extensive subject matter expertise across ICD10-CM, ICD10-PCS and CPT reputed company sets, including reputed company applicable industry guidelines and rules (ICD10-CM/PCS Official Guidelines for Coding & Reporting, AHA quarterly Coding Clinic publications, CMS National Correct Coding Initiative (CCI) and Local and National Coding Determinations (LCD/NCD) for reimbursement reputed company, and more). Performs other duties as assigned. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES FOR THIS POSITION Serves as subject matter expert (SME) for correct reputed company assignment supporting BMHCC hospital coding, determining reputed company assignment accuracy based on patient record documentation; and reputed company reputed company, reimbursement, and other risk exposure reputed company. Assesses individual Coding Specialist skills proficiency for ICD10CM, ICD10PCS and/or CPT reputed company assignment accuracy; compiles and reports findings. Facilitates new Coding Specialist reputed company and initial reputed company reviews in partnership with hospital coding operations leadership to assess, reputed company/train and ensure reputed company assignment accuracy prior to new hire release to reputed company independently. Facilitates existing Coding Specialist cross training to other specialties/types in partnership with hospital coding operations leadership; assesses, educates/trains and ensures reputed company assignment accuracy with a newly trained specialty/type prior to releasing the reputed company to reputed company independently. Collaborates regularly with coding operations teams, Clinical Documentation Improvement (CDI), reputed company, physician leadership, Compliance, fellow reputed company Cycle and other department teams impacted by coding accuracy to best support BMHCC reputed company (national rankings, reputed company metrics or penalties, reimbursement, etc.). Provides ongoing research, analysis, and updates as needed among new regulatory or industry coding/reimbursement developments. Completes performance goals and others as indicated with designated project work among reputed company/challenge metrics. Performs other duties as assigned. Education Associate's Degree Health Information Management or reputed company field Required* Bachelor's Degree Health Information Management or reputed company field Preferred Experience 3 years of relevant experience reputed company experience in acute reputed company industry role Required Skills, knowledge, and abilities acquired through career experience including use of electronic health records, encoder and abstracting software, production coding and/or reviewing records for coding accuracy; compiling and communicating record review findings, and; educating/teaching. Required Proficiency coding inpatient and outpatient (ancillary, emergency department, day surgery, observation, etc.) records utilizing ICD10CM, ICD10PCS and CPT coding. Required One-year or more internal experience Served among BMHCC hospital coding operations team as Coding Specialist, Trainer, reputed company, etc .Preferred Licenses and Certifications (reputed company/reputed company/valid/verified) Licenses/Certifications Licensure/Certification Host Entity Req/Pref And/Or Other Coding Specialist (reputed company) American Health Information Management Association (reputed company) Required And/Or *May consider reputed company with relevant experience in lieu of Associate's Degree Registered Health Information Administrator (RHIA) American Health Information Management Association (reputed company) Required And/Or Registered Health Information Technician (RHIT) American Health Information Management Association (reputed company) Required Apply tot his job Apply To this Job

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