Join TriHealth as a Coding Specialist II!
At TriHealth, our Medical Coding Specialists play a key role in supporting
accurate, compliant, and high‑quality patient care. In this position, you’ll
review provider documentation, assign correct ICD and CPT codes, research
denials, and collaborate with clinical teams to ensure clarity and consistency
in documentation and coding practices.
We’re seeking candidates with a coding certification (CPC‑A, CPC, CCS‑P, or
CCA), strong knowledge of ICD‑10‑CM/CPT guidelines, and a solid foundation in
anatomy, physiology, and medical terminology. At TriHealth, you’ll join a
supportive, mission‑driven environment where your expertise is valued, and your
work makes a meaningful impact.
Apply today and grow your career with a team that truly values you.
Location:
Works at Home
Work Schedule:
Full-Time (80 hours biweekly)
Day Shift
No Weekend, Holiday or On Call Commitment
Benefits:
TriHealth offers a comprehensive benefits package - including medical, dental,
vision, paid time off, retirement plans, and tuition reimbursement. Please view
our benefits page https://careers.trihealth.com/what-we-offer/benefits
[https://careers.trihealth.com/what-we-offer/benefits]
Job Requirements:
Associate’s degree
Equivalent experience accepted in lieu of degree
CPC, CCS-P, CCM, RHIA, RHIT, CCA
Extensive knowledge of ICD-10-CM and CPT coding Methodologies
Abstract coding of inpatient and outpatient medical records
Extensive knowledge of medical terminology and Anatomy
3-4 years’ experience in a related field
Job Overview:
This position abstract codes provider documentation and assigns specific and
appropriate ICD (International Classification of Diseases) and CPT (Current
Procedural Terminology) codes based on clinical documentation and official
guidelines/regulations provided by government and insurance carriers. Provides
coding expertise to department management, coding staff, clinical staff, and
billing staff. Meets or exceeds departmental standard related to quality and
productivity
Job Responsibilities:
Assists with coding/billing questions from both internal and external
customers.
Which will include follow-up on denials, research, and review of charts for
potential coding issues.
Follow up with provider on any documentation that is insufficient or unclear
and escalate where necessary.
Communicate with other clinical staff regarding documentation trends.
Maintains a close working relationship with all departments and internal
customers including leadership and consolidates efforts to ensure appropriate
and standardized coding procedures are followed.
Ensures understanding and compliance with coding protocols, rules and
regulations from government agencies, insurance companies, and other
resources.
Maintains knowledge of current coding revisions and effectively communicates
changes with provider.
Maintains accurate and current CPT and ICD-10-CM resources within the billing
and clinical systems.
Validate and/or abstract codes specific to diagnoses and procedures, using
ICD and CPT codes.
Receive and review patient charts and documents to ensure codes are accurate
and sequenced correctly and in accordance with government and insurance were
applicable.
Ensure that all codes are current, active, and billable according to CCI.
Validate and/or abstract codes specific to diagnoses and procedures, using
ICD and CPT codes.
Receive and review patient charts and documents to ensure codes are accurate
and sequenced correctly and in accordance with government and insurance were
applicable.
Ensure that all codes are current, active, and billable according to CCI.
Other job-related information:
Current professional coding credential:
AAPC (Certified Professional Coder [CPC]
Certified Outpatient Coder [COC])
PMI (Certified Medical Coder [CMC])
AHIMA (Certified Coding Specialist-Physician [CCS-P]
Certified Coding Specialist [CCS]
Registered Health Information Administrator [RHIA]
Registered Health Information Technician [RHIT])
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting <10 Lbs - Rarely
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Consistently
Use of Hands - Occasionally
Color Vision - Rarely
Visual Acuity: Far - Frequently
Visual Acuity: Near - Frequently
Walking - Occasionally
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE
our patients, our communities, and our fellow team members. To achieve our
vision and mission, ALL TriHealth team members are expected to demonstrate and
live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying
"hello"
• Acknowledge when patients/guests are lost and escort them to their destination
or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or
patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service
breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of
patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively
participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently
and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for
contributions.
• Show courtesy and compassion with customers, team members and the community