Job ID: 22-28995
Type: Regular Full-Time
Emanuel Medical Ctr campus
At Legacy, we support all of our employees in being the best at what they do. It’s their commitment that helps us fulfill our mission of making life better for others. If you want to grow your coding skills in an environment dedicated to the health and well-being of the community, we invite you to consider this role.
Your coding expertise will be highly valued as you review clinical documentation and diagnostic results, and apply appropriate coding for inpatient and outpatient records. Hospital administration, medical staff and other users will benefit from your ability to accurately code and abstract medical record data using established guidelines. Through these skills, you will help to resolve errors in the billing process, identify areas for improvement and ensure timely optimal payments.
This position is 100% remote.
- Under indirect supervision, Coding Specialist 2 codes and abstracts typically complex inpatient, ED, and/or Short Stay medical records accurately and in a timely manner for billing and data collection for all patient types. Reviews the medical record to assure specificity of diagnoses and procedures for code assignment that is compliant and provides data and optimal reimbursement for hospital services.
- Abstracts from patient charts designated information following established methods and procedures including attending physician, surgeon, consulting physician, obstetric and newborn information, anesthesia information, and any other required information gathered in the abstract. Monitors the database for accuracy as needed. Collaborates with clinical staff, documentation specialists and physicians to assure accurate documentation to ensure appropriate representation in case mix, risk and severity for data capture and reimbursement. Performs Physician Queries as needed.
- May provide direction to other coders and respond to personnel in other hospital departments regarding coding questions and issues. May verify codes and charges assigned by other departments for accuracy. Enters charge information when appropriate. Responsible for data comprehensiveness and quality assurance by reviewing PBS edits and abstracting corrections. Maintains communication and relationships with PBS billing and reimbursement staff and management regarding issues affecting coding and charge capture. Assigns interim coding and abstracts information for In House reports as needed for Patient Billing Services.
- Effectively utilizes all computer systems needed to perform essential functions. Simultaneously handles multiple electronic systems as needed. Thoroughly locates necessary information in both electronic and paper systems in order to accurately code and abstract data. Identify problem documents and work with CDS Coordinator and submitting department to correct errors.
- Consistently maintains an accuracy rate of 90% to 95% or better for ICD-10-PCS-CM coding, CPT coding, and abstracting of all patient types.
- Assigns appropriate codes based on UHDDS regulations, the official coding guidelines as approved by the Cooperating Parties, and the CPT rules established by the AMA.
- Consistently maintains an average time of 27 minutes or less to perform coding and abstracting on each inpatient record, 13 minutes or less on outpatient records, 4 minutes or less on Emergency Department records and 4 minutes for outpatient diagnostics records, with an overall productivity rate of 90% or better.
- Performs DRG grouping and ASC grouping accurately and effectively to achieve the optimal payment to which the facility is legally entitled. Adheres to National Correct Coding Initiative edits to achieve accurate coding. Maintains communication with Records Processing and Patient Business Service staff to maintain accurate accounts for facility billing purposes.
- Participates in educational programs and in-service department meetings. Presents evidence of a minimum of 10 continuing education credits on an annual basis.
- Performs other duties as assigned.
High School Diploma/GED required. Completion of classes in medical terminology, anatomy and physiology, ICD-10-CM and CPT coding conventions, and disease processes required. Successful completion of college-based coding program preferred.
Minimum of two years, three years preferred, inpatient and outpatient ICD-10-CM coding and CPT coding and abstracting of multiple case types within last five years required. Skills assessment examination required. Experience on Epic Systems preferred.
Computer and encoder skills including 3m.
Ability to accurately perform ICD-10-CM/PCS and CPT coding.
Capable of moderate keyboarding speed.
Ability to read and understand medical terminology, anatomy & physiology, patho physiology.
Ability to maneuver through multiple computer applications including encoders, abstracting, groupers, EMR and MS Office applications including Excel and Word required.
Effective written and verbal communication skills.
Critical thinking and problem-solving skills required.
Ability to work independently with minimal direct supervision, seeking direction as needed.
Ability to communicate proactively with clinical staff.
Demonstrate excellent prioritization, analytical and organizational skills.
LEGACY’S VALUES IN ACTION:
Follows guidelines set forth in Legacy’s Values in Action.
Equal Opportunity Employer/Vets/Disabled