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Position Summary
• Reviews provider documentation and revises and/or assigns ICD-10-CM codes
and CPT/HCPCS codes as appropriate, based on official coding guidelines.
Researches and takes appropriate action on any coding/claim edits.
• Coding focus is complex outpatient hospital based (Observation, Emergency
Department, Wound, Ambulatory Surgery) or provider based complex procedural
services (surgery, procedures, wound).
Principal Accountabilities
• Standards of Performance: Respect, Integrity, Compassion, Collaboration,
Stewardship, Accountability, Quality
Education
• High School Diploma required. Preferred Associate or Bachelor Degree in
Health Information or a healthcare related discipline.
Licenses and Certification
• Required:
o RHIA, RHIT, or CCS (hospital)
o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)
Experience and Skills
• Hospital & Provider Based:
o RHIA, RHIT, CCS – None.
• Provider Based:
o CCS-P, CCA, or CPC – 3 years procedural coding required.
Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds
Role Specific Responsibilities
o Follows all coding policies, procedures, standard operating procedures
o Effectively uses encoding software and reference materials to assign
appropriate codes.
o Provider driven coding: Reviews and accepts or revises code selection
based upon documentation and coding guidelines.
o Non – provider driven coding: Reviews provider documentation and
assigns appropriate codes based upon coding guidelines
o Reviews coding edits and accurately resolves so encounter can be sent to
claims.
o Sends clear, respectful communications to provider inbasket or queries
when additional information is needed before finalizing coding.
o Identifies and communicates to Coding Lead/Supervisor/Manager any
issues related to documentation, coding or systems that may impact
quality, compliance, or productivity
o Performs work que duties as assigned by Coding
Lead/Supervisor/Manager.
o Maintains coding quality and productivity standards
o Actively engages and makes meaningful contribution when participating
in performance improvement initiatives, department meetings and other
meetings as required.
o Maintains required CEU’s
Compensation (Commensurate with experience):
$24.12 - $37.39To access our Benefits Guide/Plan Information, please click the link below: