Hospital Coding Specialist

Hospital Coding Specialist

Full-time

Company Description

Healthcare

Job Description

Hospital Coding Specialist

8 years' experience

CCS

Summary: Assigns diagnostic and procedures codes and abstracts data to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines.

Duties and Responsibilities:

• Reviews electronic medical record documentation to obtain or verify diagnoses and procedures.
• Assigns accurate ICD-9 and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
• Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.
• Reviews electronic medical record documentation and abstracts statistical data into HIS abstracting system based upon hospital policy and regulatory body guidelines.
• Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements.
• Assists with training of new coder, when needed.
• Assists Case Management and Patient Access Departments in providing appropriate CPT codes for preadmission and pre-certification requirements.
• Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate DRG assignment, diagnoses and procedures sequencing, and coding and documentation training.
• Aggregates data from reviews and compiles reports for HIM Mgmt
• Communicates as necessary with physicians to obtain or clarify diagnoses and/or procedures via the internal physician query process and making sure the physician documents within the medical record.
• Maintains data integrity of coded and abstracted records within 95% accuracy.
• Verifies accuracy of transcribed reports/indexed documents and assigns errors to the appropriate queue in the electronic medical record application.
• Meets minimum coding productivity standards within 3 months of employment or maintains minimum coding productivity standards during employment while ensuring accuracy of coding.
• Performs other job related duties as assigned.
• Demonstrates components of ICARE value statement.
• Demonstrates components of servicepride standards.
• Follow all safety rules while on the job.

Experience Requirements: Certified Coding Specialist (CCS) required with 8plus years coding experience in an acute-care setting with minimum 2plus years coding experience in a 200plus bed, acute-care facility. Certified Coding Specialist (CCS) plus a Registered Health Information Technology (RHIT) or Registered Health Information Administrator (RHIA) required with 6plus years coding experience in an acute-care setting with minimum 2plus years coding experience in a 200plus bed, acute-care facility.

Certificates, Licenses and Registrations Required: Certified Coding Specialist (CCS)

Special Knowledge, Skills and Abilities Required:

• Knowledge of all of the components of an electronic medical record.
• Knowledge of ICD-9 codes, CPT codes, DRGs, and APCs.
• Working knowledge of medical terminology, anatomy and physiology.
• Must be able to type 40 words per minute with extensive PC knowledge.
• Proficiency with electronic encoder application.

Skills and Certifications:

CCS

Ideal Candidate:

8+ years billing experience in a large hospital facility.

CCS certification

Additional Information:

All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc