Category:
Health Information Management
Department:
Health Information Management
Status:
Fulltime
Schedule:
40 hours M-F Days
Description:
Summary: Assigns diagnostic and procedure codes to inpatient and outpatient records while at the same time creates consistency and efficiency in inpatient and outpatient coding and data collection to optimize DRG and APC reimbursement and required Federal & State reporting. Facilitates data quality in hospital inpatient and outpatient documentation.
- Possess audit skills for coding quality and compliance.
- Knowledge of ancillary testing/outpatient procedures (laboratory, x-ray, EKG, etc.) as they are related to hard coding and/or Charge-Master coding.
- Expert knowledge of national coding guidelines and practices to include ICD-10-CM as applicable.
- Knowledge of anatomy, physiology and medical terminology.
- Broad knowledge of pharmacology indications for drug usage and related adverse reactions.
- Experience and competency with the computer, keyboard and Internet Skills as well as encoding systems.
- Detail oriented, analytical.
- Strong process improvement skills.
- Strong customer service and communication skills.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed above are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Requirements:
- Successful obtainment and maintenance of an American Health Information Management Association (AHIMA) credential either Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is necessary.
- Two years of coding experience in ICD-9-CM and CPT/modifiers is preferred and may be considered as a substitute for the credentials.
- Experience in coding Quality Assurance processes including audits of coding and payment group assignments is preferred.
- Experience with the claim development process and movement of codes from the Charge-Master and/or from HIM Dept. is preferred.