Offer summary

Qualifications:

Associate's Degree in Health Information, Medical Records, Medical Coding or similar program, or equivalent experience., Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar is required., At least 12 months of full-time coding experience in an acute care facility is necessary., In-depth knowledge of medical terminology, ICD-10-CM/PCS, CPT-4 coding conventions, and DRG systems is essential..

Key responsabilities:

Assign appropriate codes for diagnoses and procedures based on physician and nursing documentation.

Abstract data for input into the Medical Center's computerized database.

Convert patient visits into DRG, ASC, APG, and APC assignments for optimal reimbursement.

Maintain confidentiality of personal health information and ensure compliance with HIPAA regulations.

Job description

POSITION SUMMARY:

Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, HIM-designated CPT-4/HCPCS and CPT-HCPCS modifiers resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group), ASC (Ambulatory Surgical Classification), APG (Ambulatory Patient Groups), APC (Medicare’s Ambulatory Patient Classification) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded.

Position: Medical Coder-U

Department: Clinical Documentation

Schedule: Full Time

JOB REQUIREMENTS

EDUCATION:

Level of knowledge equivalent to that ordinarily acquired through completion of an Associate's Degree in Health Information, Medical Records, Medical Coding or similar program. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Must have obtained and maintain current at least one of the following:

Certified Coding Specialist (CCS)
Certified Coding Specialist-Professional (CCS-P)
Certified Professional Coder (CPC)
Certified Professional Coder-Hospital Outpatient (CPC-H)

EXPERIENCE:

At least 12 months of full-time coding experience in an acute care facility.

KNOWLEDGE AND SKILLS:

Work requires in-depth knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions and knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs). Work also requires basic concepts of human anatomy, physiology and pathology.
Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
Ability to work with accuracy and attention to detail
Ability to solve problems appropriately using job knowledge and current policies/procedures.
Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations

Equal Opportunity Employer/Disabled/Veterans

Required profile