Reviews medical record documentation and diagnostic results to assign appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Responsible for coding and abstracting outpatient medical records, to include but not limited to, simple ambulatory surgery, endoscopic, emergency center, clinic, and diagnostic medical records. Queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Abides by the Standards of Ethical Coding as set forth by AHIMA.
GENERAL REQUIREMENTS
Adheres to the hospital and departmental attendance and punctuality guidelines
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Performs other duties as required and completes all job functions as per departmental policies and procedures
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
WORKING CONDITIONS
General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be required to change from one task to another of different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime
Qualifications
EDUCATION REQUIREMENTS
High School Diploma or GED and 4 years directly related experience (Required) OR 2 year / Associate Degree in Health Information Management or related medical degree
EXPERIENCE REQUIREMENTS
1 year ICD-9, ICD-10, and HCPCS coding preferably in a hospital setting. (Required)
1 year Experience calculating APC and other payer reimbursement methodologies. (Preferred)
1 year Broad knowledge of medical terminology, pathophysiology, and pharmacology. (Required)
CERTIFICATIONS AND LICENSURES
Preferred Certifications/Licensures: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)
GENERAL SKILLS
Organizational Skills
Communication Skills
Interpersonal Skills
Customer Relations
Mathematical
Analytical
Grammar/Spelling
Read/Comprehend Written Instructions
Follow Verbal Instructions
Basic Computer Skills
Microsoft Office Suite
General Clerical Skills
PHYSICAL REQUIREMENTS
Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
Ability to perform - repetitive tasks/motion
PHYSICAL DEMANDS
Standing - Occasionally within shift (1-33%)
Walking - Occasionally within shift (1-33%)
Sitting - Continuously within shift (67-100%)
Bending/Stooping - Occasionally within shift (1-33%)
Twist at waist - Occasionally within shift (1-33%)
Pushing/Pulling - Occasionally within shift (1-33%)
Reaching above shoulder - Occasionally within shift (1-33%)
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Phoebe Putney Health System by 2x