Integris

Job Description

The Certified Coding Specialist Sr analyzes relevant clinical and demographic information from the Health Information record, assigns appropriate ICD-10 and CPT codes following appropriate guidelines and ascertains that the above are compliant with CMS, state and other regulatory agencies. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status. INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.

Responsibilities

The Certified Coding Specialist Sr responsibilities include, but are not limited to, the following:

HOSPITAL:

• Assigns hospital DRG's proficiently and analyzes documentation for appropriate severity of illness and risk of mortality reporting.
• Provides mentorship and training to on-boarding coders
• Completes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state and federal guidelines and hospital abstracting guidelines
• Performs queries and obtains documentation required for coding for records maintained in other departments.
• Coordinates documentation needs, query follow-up and final DRG assignment with the Clinical Documentation Specialist

AMBULATORY:

• Review provider documentation for coding appropriateness, and analyze medical records to complete accurate code selection. Maintain communication with Management and Providers to ensure timely notification of identified documentation issues.
• Assign diagnosis and procedure codes for clinic visits, surgical procedures/deliveries, and other billable professional services.
• Act as a mentor to other team members to assist with inquiries regarding coding, documentation.
• HCC coders will maintain focus on appropriate queries and education regarding appropriate HCC diagnoses documentation and capture.

The Certified Coding Specialist Sr reports to the Manager. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Hazards are minimal if safety precautions are utilized. Heavy work volume, high degree of accuracy required and stringent deadlines. Exposure to serious error is present: data integrity, health information security /confidentially. May be required to work extended hours, on off shifts and weekends/holidays related to deadlines and needs of System departments. Travel may be required to INTEGRIS facilities. Exposure to weather conditions during travel. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Qualifications

• Knowledge of medical terminology, anatomy and physiology, coding and application
• Knowledge of various computer applications including Windows, Excel, healthcare information systems and encoders
• One of the following:
  • CCS: Certified Coding Specialist Certification and two years of coding experience
  • CPC: Certified Professional Coder and two years of coding experience
  • CRC: Certified Risk Adjustment Coder and two years of HCC coding experience
  • RHIT: Registered Heath Information Technologist Certification.
  • RHIA: Registered Health Information Administrator Certification .
• Must be able to communicate effectively in English (Oral/Written)