Coding Specialist HIM Senior Job Chesapeake Virginia USA,Healthcare

Coding Specialist HIM Senior

Fully Remote Position

Inpatient Coder

Summary

The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.

Essential Duties and Responsibilities

Code diagnostic and procedural information from the record using ICD and CPT/HCPCS classification systems

Utilize a computerized encoding system to facilitate accurate coding

Sequence diagnoses and procedures by following the ICD, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal Intermediary guidelines

Work cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure quality coding

Select the DRG for each inpatient discharge and APC for each outpatient visit, ensuring coding compliance based on approved coding guidelines and conventions

Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information

Enter patient information into computerized inpatient and outpatient medical record databases

Ensure the accuracy and integrity of medical record abstract data prior to billing interface and claims submission

Routinely code inpatient records to meet productivity and quality standards for inpatient coding

Code outpatient, emergency department, and outpatient diagnostic records as determined by Coding Operations Manager

Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate

Communicate and advise the Patient Accounts on coding and DRG/APC assignment and submission

Assist the Coding Compliance Specialist and/or Coding Operations Manager as needed

Fill-in for the Coding Compliance Specialist and/or Coding Operations Manager as needed

Complete other duties as assigned

Summary of Other Job Duties and Expectations

Adhere to the Service Excellence Standards and Expectations at Chesapeake Regional Medical Center

Exhibit excellent customer relations to patients, visitors, physicians, and co-workers

Exhibit courteous communication skills and an ability to work with others, exercising good judgment in performance of job duties

Demonstrate courtesy, compassion, and respect to others in adherence of the hospital's philosophy and policy for promoting positive work and customer environments

Work as a team to continuously improve work quality

Demonstrate a commitment to flexible work schedules when it is necessary to ensure patient care

Present self in a positive manner as reflected by personal attire, etiquette and behavior

Attend required hospital-wide orientations, meetings, and in-services

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

Minimum Required

Education:

Completion of a Health Information Management program with AHIMA approval status or coding program with AAPC

Preferred Education:

N/A

Experience:

4+ years recent experience coding in an acute hospital setting required; coding ability will need to be demonstrated via a skills assessment

Certificates, Licenses, Registrations

Certification in RHIA or RHIT and CCS or CIC is required. In addition, also prefer outpatient coding certifications through AHIMA and AAPC.

Required Education

High School or better.

Required Licenses & Certifications

Registered Health Info Ad

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