Job Details
Description
Job Description
JOB SUMMARY
The Inpatient, Outpatient/ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using ICD-9-CM, ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS classifications.
Job Requirements
JOB REQUIREMENTS
Minimum Education
- Must possess a high school diploma or equivalent.
Minimum Work Experience
- Two years previous coding experience preferred and/or credentialing as an RHIT, RHIA, CCS, CPC, or CPC-H.
- Must have knowledge of ICD-9-CM, ICD-10-CM, CPT-4/HCPS, CPT-4/HCPCS coding guidelines, medical terminology, anatomy, physiology and excellent computer skills.
FUNCTIONAL DEMANDS
Physical Requirements
Sitting - =>32%
Walking - 1-15%
Standing - 1-15%
Bending/Squatting - 1-15%
Climbing/Kneeling - 1-15%
Twisting - 1-15%
Visual and Hearing Requirements
Must be able to see with corrective eye wear if needed.
Must be able to hear clearly with assistance if needed.
Physical/Environmental requirements
Lifting - 0 -50 lbs, 50 or more with assistance
Carrying - 0- 50 lbs, 50 or more with assistance
Pulling - Up to 100 lbs
Pushing - Up to 100 lbs
OSHA
Minimal potential for direct exposure
LEADERSHIP CAPABILITIES
Mission, Service and Values
Supports the hospital Mission, Service, and Values
ESSENTIAL FUNCTIONS
Essential Functions
- Accurately codes and abstracts all medical records.
- Monitors Discharged Not Final Billed (DNFB) accounts. all medical records should be coded within 6 days of patient discharge.
- Performs chart audits on clinic records and educates physicians as needed.
- Pays close attention to documentation in the record to support medical necessity of tests performed. Checks
- Local Coverage Determinations to assure medical necessity.
- Checks National Correct Coding Initiative edits to sure that appropriate modifiers are applied to CPT/HCPCS codes when necessary.
- Works with physicians regarding diagnoses and documentation in the medical record.
- Promptly and fully investigates all complaints and/or problems through own action or referral to the to a Supervisor.
- Reports any errors or corrections that need to be made in the medical record to the HIM Department so they can be corrected in the Soarian EDM system.
- Acknowledge and work all Soarian Financials worklists (Charge Error Work List, Bill Error Cube, and Enhanced Worklists, etc.) on a daily basis.
- Assist with all other duties as assigned.
ORGANIZATIONAL EXPECTATIONS
T.J Pledge
I Will Show Compassion
- see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.
- recognize that each and every interaction I have at T.J. Regional Health matters
- show kindness and compassion towards my customers at all times
- be sensitive to the personal and private needs of every customer
I Will Cooperate With Others
- maintain zero tolerance for abusive behavior
- listen and be willing to accept fault when I make a mistake
- never underestimate the power of an apology
- refrain from blame and judgment
- bring a sense of calm to stressful situations
I Will Collaborate With Others
- value myself and every coworker as an equal part of one GREAT team working together
- treat others in a way that I would like to be treated
- participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health
- foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults
- speak honestly, seek truth, and act with integrity towards my teammates
- value the uniqueness and expertise that each team member contributes to the whole
- meet the need of the moment, regardless of whether or not it is considered part of my job
I Will Communicate
- smile - at everyone
- always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction
- follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away
- escort any customer in need (visitors, patients) to their destination
I Will Adapt To Change
- be a part of the solution when I am presented with a challenge
- embrace change and set the example for those around me
- accept openly when there are changes that T.J. Regional and/or I have no control over
- manage the expectations of others by explaining duration and next steps as often as needed
I Will Be A Champion
- serve with passion
- view myself as an owner of T.J. Regional Health and act accordingly
- take responsibility for the physical appearance of T.J. Regional Health, including my work area
- go out of my way to daily thank and compliment my customers and coworkers
- dare to make a difference and be exceptional
- constantly try to improve myself and T.J. Regional Health
- speak positively about T.J. Regional, while at work and in public places outside of work
Qualifications
Education
Required
High School or equivalent or better.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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