Description
Essential Job Functions
- Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records.
- Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracts and codes pertinent medical data into multiple software programs and/or encoders.
- Follows official coding guidelines to review and analyze health records.
- Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
- Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services, procedures performed by physicians.
- Enters codes into various computer systems dependent upon the various clients.
- Track and document productivity in specified systems, maintain productivity levels as defined by the client.
- Maintain 95% quality rating
- Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes
- Ability to prioritize and multi-task in a fast-paced, changing environment.
- Demonstrate ability to work in all work types and specialties.
- Demonstrate ability to self-motivate, set goals, and meet deadlines.
- Demonstrate leadership, mentoring, and interpersonal skills.
- Demonstrate excellent presentation, verbal, and written communication skills.
- Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
- Maintain courteous and professional working relationships with employees at all levels of the organization.
- Demonstrate excellent analytical, critical thinking and problem-solving skills.
- Skill in operating a personal computer and utilizing a variety of software applications.
- Knowledge of coding convention and rules established by the AHIMA , American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
- Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Supervisory Responsibility
- No
Work Environment
- This job operates in a remote home office environment .
- This role routinely uses standard office equipment such as computers and phones.
Physical Demands
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.
- The employee must occasionally lift or move up to 25 pounds.
- Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.
Position Type/Expected Hours of Work
- This is a full-time position.
- Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m.
- This position occasionally requires long hours and weekend work.
Travel
- Minimal travel required; up to 5%
Required Education and Experience
- Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.
Preferred Education and Experience
- N/A
Additional Eligibility Qualifications
- Certified Professional Coder (CPC), CCS-P, or equivalent coding credential required.
Qualifications
- Certified Professional Coder (CPC), CCS-P, or equivalent coding credential required.
- Minimum of 2 years of recent, credentialed Professional Fee coding experience in Obstetrics.
- NICU experience is a plus.
- Minimum of 2 years of Epic experience .
- Minimum of 2 years of 3M experience .