Job type full-time
Full job description
Responsible for final coding same day surgery and observation accountsThis position is responsible for applying coding rules and guidelines to high acuity documentationThis position is responsible for accurately assigning and sequencing diagnosis codes using icd-10-cm in accordance with advice from coding clinic and icd-10-cm official coding guidelinesThis position is responsible for accurate assignment of cpt procedure codes in accordance with advice from cpt assistant (cpt/hcpcs) guidelinesThis position is accountable for utilizing the electronic medical record software application epicThis position is accountable for utilizing 3m coding products including encoder and groupers for medicare reimbursement and other third party payors, and for internal advocate business and quality purposesThis position is accountable for accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data.
Codes diagnoses and procedures utilizing a computerized encoding software system and completes abstraction for clinical data and non-clinical data elements for community hospital sitesThis position is responsible for reviewing all documentation in the patient record for accurate and complete code assignment in accordance with the current international classification of disease, clinical modification (icd-10-cm)This position is responsible for accurate assignment of cpt procedure codes in accordance with advice from cpt assistant (cpt/hcpcs) guidelines.
Maintains a productivity rate of 100% or more on a monthly basis and a quality rate of 95% or higher.
Responsible for assigning diagnosis codes and cpt codes for observation and day surgery accounts.
Responsible for reviewing all documentation in the patient record to identify all relevant diagnoses and procedures for coding accuracy.
Codes diagnoses and procedures utilizing the 3m360 encoding system and has knowledge in epic chart production.
Selects and assigns codes for the appropriate first listed and all additional diagnoses according to outpatient coding guidelines with the official icd-10-cm coding and reporting guidelines.
Assists in ensuring coding compliance with federal, state, and other regulatory agencies, research cases, government payors and other selected third-party payors.
Locates and utilizes the necessary resources to solve coding questions as they arise during the performance of daily duties.
Attends educational seminars and in-services to satisfy continuing education requirements to maintain certification(s)Reviews periodicals and literature to remain abreast of changes that will affect coding and reimbursement methodologies.
Achieves productivity expectations to support discharged not final billed (dnfb)Attends monthly coding meetings as requiredPromotes patient safety by reporting of issues through established channels and participating in safety initiativesSafeguards confidential and privileged patient information.
Full time, first shift position with occasional weekends.
This is a remote opportunity.
Licenses & certifications
Health information technician (rhit) registration issued by the american health information management association (ahima), or
Health information administrator (rhia) registration issued by the american health information management association (ahima), or
Associate`s degree in health information management or associate degree in related field.
Required functional experience
Typically requires 5 years of experience in surgical coding and outpatient specialty coding with proven competency in surgical cases in an integrated acute care teaching setting.
Knowledge, skills & abilities
Proficient in microsoft office, word, excel, and powerpointAdvanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology) and is able to apply these sciences to accurately assign codes to cases to include surgical cases.
Demonstrates knowledge of national council on compensation insurance, inc (ncci) edits, and local and national coverage decisions.
Expert knowledge and experience in icd-10-cm, cpt, and 3m encoder.
Expert knowledge and experience in icd-10-cm and cpt coding systems, g-codes, hcpcs codes,
Current procedural terminology (cpt), modifiers, and ambulatory payment classifications (apc).
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
Excellent communication and reading comprehension skills.
Demonstrated analytical aptitude, with a high attention to detail and accuracy.
Experienced with remote workforce operations requiredStrong sense of ethics.
Experience coding same day surgeries and observation cases.
Ideally at least 5 years of experience.
Must have a strong knowledge of cpt and icd-10 cm coding.