This position has anticipated start date of approximately July 1, 2013.
Dedicated to the Health of the Community
The Health Care District of Palm Beach County is an integrated public health system established in 1988 as a special taxing district that is an equal opportunity employer of approximately 1 , 000 employees. The Health Care District's mission is to ensure access to a comprehensive health care system and the delivery of quality services for the residents of Palm Beach County. The Health Care District provides challenging and fulfilling employment opportunities through its health coverage programs for uninsured residents, a nationally recognized Trauma System, a School Health program which staffs registered nurses in nearly 170 public schools, a pharmacy operation, a long-term skilled nursing and rehabilitation center, and its acute care hospital, Lakeside Medical Center, in rural western Palm Beach County.
General Statement of Job
This position analyzes all inpatient and outpatient records in an accurate and timely manner utilizing the ICD-9-CM and CPT-4 classification systems. The employee is responsible for reviewing the patients’ medical records to ensure specificity of diagnoses, procedures and appropriate optimal reimbursement for the hospital and/or professional charges. This position inputs abstract data into the system following established methods and procedures.
Specific Duties and Responsibilities
Reviews patient medical record documentation and accurately codes the primary and secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions into the HMS billing system.
Sequences the diagnoses and procedures using coding guidelines.
Ensures the DRG/APC assignment is accurate.
Abstracts and compiles data from patient medical records for appropriate optimal reimbursement for hospital and/or professional charges.
Reviews and works on the Monitor Error Report for coding issues for all departments including Medical Records.
Reviews the charge list for incorrect or missing charges, or any CPT discrepancies.
Performs concurrent coding of all Medicare accounts to generate a working diagnosis.
Reviews discharge lists daily to ensure all accounts have been processed for coding. Finalizes accounts within three (3) days of patients’ visit.
Directs problems with charges and billing discrepancies to the Practice Manager for resolution as required. Follows up to ensure resolution.
Monitors unbilled reports for missing diagnoses weekly. Resolves any discrepancies in a timely manner to ensure appropriate optimal reimbursement for services.
Reports on any backlog to the Practice Manager on a daily basis.
Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
Maintains a thorough understanding of medical record practices, standards, regulations, JCAHO, HCFA and other applicable regulatory and compliance standards.
Adheres and follows departmental policies and procedures.
Applies the clinic’s principles of safety in all work practices. Reports any identified safety risks or incidents per the clinic’s policies and procedures.
Maintains a neat, orderly and safe work area.
Follows all infection control and employee health policies and procedures at all times.
Maintains patient confidentiality at all times according to the clinic’s established policies and procedures.
Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.
This job description reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. The omission of specific statements of duties does not exclude them from the position. Management of the Health Care District of Palm Beach County reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.
High School Diploma or GED required. Associate’s or Bachelor’s Degree preferred.
Two (2) to five (5) years of previous coding experience required.
Certified Coding Specialist (CCS) or Certified Coding Associate (CCA) Certification required.
Medical documentation preferred.
The Health Care District is an Equal Employment Opportunity Employer and maintains a Drug Free Workplace. Qualified individuals with disabilities who require an accommodation to participate in the application process should contact Human Resources. Veterans preferred.
The Health Care District of Palm Beach County is an integrated public health system established in 1988 as a special taxing district that is...