• Coder

    Job Locations US-ME-Brunswick
    Job ID
    2018-2718
    Job Type
    Temporary Full-Time
    Category
    Administrative/Clerical
    Unit
    Patient Financial Services
    Shift
    First, flexible
    Hours per Week
    40
  • Overview

    Responsible for determining the appropriate diagnostic and procedural codes based on available medical information. Identifies and abstracts other medical and non-medical data as requested for reporting and performance improvement. This information is used for data retrieval, analysis and reimbursement. This is accomplished in a timely manner, with a high degree of accuracy, quality and consistency.

    Responsibilities

    • Codes all patient records accurately and completely in accordance with all coding standards and regulations and accurately enters all codes and special criteria elements into the database within required timeframes.
    • Applies appropriate ICD-10-CM and CPT-4 codes including diagnosis and procedures for all types of medical records including medical, surgical, ancillary services, outpatient and obstetrical records.
    • Queries physicians effectively and courteously when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
    • Meets or exceeds department productivity and quality standards.
    • Appropriately handles inquiries and issues from Patient Financial Services and other hospital departments and provides competent and thorough follow-up.
    • Plays an integral role in assisting the organization and department in achieving its goals regarding uncoded records and the dollars they represent. Monitors uncoded encounters on a regular basis. Locates and retrieves uncoded records to insure coding and abstracting is completed in a timely fashion.
    • Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Brings identified concerns to department manager for resolution.
    • Remains knowledgeable of and acts in accordance with all coding conventions as well as all external agency and government regulations affecting coding
    • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
    • Edits data reports before quarterly submission to Maine Health Data Organization making any necessary corrections to data.
    • Utilizes coding quality audits to improve the quality of coding
    • Departmental participation

    Qualifications

    EDUCATION:

    • High School diploma or equivalent.

     

    CERTIFICATION:

    • American Health Information Management Association or the American Academy of Professional Coders: RHIA, RHIT, CCA, CCS, CPC-H, CPC-P certification required.

     

        TRAINING AND EXPERIENCE:

    • At least two years coding experience working preferably in an acute care hospital health information department.
    • Prior Medicare coding experience, minimum one year.
    • Experience with ICD-10 and CPT coding classifications, minimum one year.
    • Extensive pc knowledge and skills, including Windows and coding software that is verifiable through testing or previous job experience.

        JOB KNOWLEDGE

    • Knowledge of disease processes, anatomy and physiology, medical terminology, pharmacology.
    • Familiar with encoding and abstracting systems.
    • Keyboarding skills
    • Able to work in a high stress environment and multitask.
    • Knowledge of privacy laws.

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