Coding Specialist-Clinics (49324)

Position Summary Accountable for conversion of outpatient diagnoses and treatment procedures into codes using an international classification of diseases, and HCPCS codes based on documentation in the patient’s record, are coded accurately and in a timely manner. Complies with government, insurance regulations and with medical coding guidelines and policies that all records are coded accurately and in a timely manner. Core Functions Reviews and validates all diagnoses/procedures stated by physician and other healthcare providers. Ensures that records are coded within 48 business hours of discharge, notifying director whenever work is more than 48 hours behind the deadline, and meeting a productivity standard of assigning codes to a minimum of 25 charts per hour. Partners with charting physician when a diagnosis is not transcribed to assure all required documentation is presented to meet compliance accuracy in coding and severity of illness is charted and coded. Codes diagnoses and procedures based on documented information in the patient’s record that agree with physician’s preference 90% of the time, and refers chart to director if there is a question regarding the diagnoses or codes. Utilizes computerized coding and abstracting equipment, codes outpatient diagnoses and procedures in accordance with ICD‑10 and HCPCS coding principles and the Coding Manual, meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded, and maintains a 99% rate of information correctly abstracted. Reviews coding periodicals within 7 days of receipt. Maintains credential continuing education as per credential held and abstracts all necessary information to accurately describe each documented diagnosis and procedure, following established HIM guidelines and the AHIMA code of ethics. Physical Demands and Environmental Factors Able to stand, walk, bend, squat, reach, and stretch frequently. Requires physical agility, adequate reaction time, adequate hearing and visual acuity (including color vision), fine motor skills, eye‑hand coordination, and the ability to grasp and handle objects. May be required to lift up to 50 pounds and must use standard precautions due to threat of exposure to blood and bodily fluids. Requires ability to communicate effectively through reading, writing, and speaking in person or on telephone, and may require periodic use of personal computer. Minimum Qualifications High School Diploma or Associate’s Degree in Medical Records Technology or the equivalent in work experience. Knowledge of diagnoses/procedures in accordance with coding principles for both acute and clinical facilities. Knowledge of Medical Terminology, Anatomy, and Physiology. Be eligible to obtain CCS (Certified Coding Specialist), CPC (Certified Professional Coder) credential or RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) credential. 3‑5 years of progressive outpatient/physician coding experience. Ability to use designated reference materials and work independently, prioritize workflow, work under pressure with time restraints, and concentrate in a busy office environment. Excellent computer and data entry skills. Preferred Qualifications Additional related education and/or experience preferred. #J-18808-Ljbffr La Paz Regional Hospital & Clinics