Day (United States of America)
Coding Specialist III - HIM
The Coding Specialist III is responsible for the coding of all Inpatient accounts using ICD-9-CM and ICD-10-CM code sets. This includes but is not limited to Trauma, Obstetric, and Psychiatric accounts. This Specialist will also verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis and procedure codes; and MS-DRG assignment based on services rendered and documentation provided.
- Minimum two (2) year college coding course including anatomy, physiology, medical terminology, and ICD-10-CM and PCS
- Minimum 2 years inpatient coding in an acute care setting.
- RHIT, RHIA, CCS or equivalent certification required.
- Knowledge of Local Coverage Determinations and National Coverage Determinations
- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
- The ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- The ability to maintain confidentiality, knowledge of HIPAA laws
- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Experience with Encoders, CAC, EHRs and general computer skills.
- Excellent organizational skills, strong attention to detail, superior data entry skills and team oriented work ethics
- Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
- Query attending physicians for documentation and diagnostic clarification
- Work closely with CDI staff to improve physician documentation
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines
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