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Job ID: 959456
Facility: ECU Health
Dept: HIMS Coding
Location: Greenville, NC
FT/PT: Full-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Apr 27, 2023
Position Summary
Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of inpatient accounts and behavior health to support hospital billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-9-CM Official Guidelines for Coding and Reporting as well as other nationally established rules and regulations for coding assignment.
Responsibilities
Provide code assignment for the following complex inpatient accounts: cardiac, complex cancer, complicated OB, NICU, PICU, complicated orthopedic, tracheostomy, trauma and vascular.
Assigning diagnostic and procedural codes to patient records using ICD-10-CM and any other designated coding classification system in accordance with the UHDDS coding guidelines.
Assigning and sequencing codes accurately based on medical record documentation.
Assigns diagnosis/procedure codes utilizing the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service.
Incorporates current regulatory coding requirements and guidelines appropriately.
Maintains weekly coding productivity log and provides feedback to the Manager of HIMS regarding any coding issues/problems.
Maintains coding accuracy of 95% or better.
Average number of records coded per week must meet minimum established quantitative standards per type of patient record.
Responsible for reviewing claims and correcting edits through CAC/Audit Expert.
Demonstrates effective computer skills for all coding functions.
Maintains confidentiality of patient information.
Participates in In-Service education, updates and conferences to remain current with coding requirements and guidelines.
Demonstrates competency in the MSDRG system and be able to differentiate between inpatient and outpatient guidelines.
Demonstrates competency and retrospectively codes all Intermediate inpatient accounts, indicating the POA indicator correctly, discharge disposition and ensuring correct DRG assignment following all hospital regulatory guidelines.
Must have knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment.
Serves as back up for the Coding Specialist I and Coding Specialist II when needed.
Maintains AHIMA credentials.
Minimum Requirements
Associate' s Degree in Health Information Technology or Bachelor' s Degree in Health Information Management required- or higher.
AHIMA credentials (RHIA or RHIT) required with 3 years of direct experience coding above mentioned chart types.
CCS credentials with 5 years of direct experience coding above mentioned chart types in an HIM department may be substituted for the required education and credentials.
Other Information
Contact Information
For additional information, please contact:
Angie J. Nichols, BS, Talent Acquisition Consultant
ECU Health Talent Acquisition
Email: [email protected]
