Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM and CPT codes for billing, internal and external reporting, research and regulatory compliance.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.** Utilizes technical coding principles for assigning appropriate ICD 9 and CPT procedures.** Extracts required information from source documentation and enters into abstracting system.** Consult physicians with all coding questions as needed.** Performs analysis of unbilled listing and correct or complete missing elements.** Works in conjunction with Patient Accounting department to streamline billing/coding process for optimal efficiency and effectiveness.** Assists in implementing solutions to reduce back-end billing errors** Maintain knowledge of coding principles and adheres to official coding guidelines,** Maintains quality assurance standard of 95% accuracy.** Coding must be performed consistently and within the time period established by management.** Takes on special projects as assigned.Effectively presents information and responds to questions from hospital managers, staff members, physicians, physician offices, insurance companies, attorney offices, patients, patient families, and the general public. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Basic medical terminology helpful.EDUCATION and/or EXPERIENCE: Minimum of successful completion of approved Coding Certificate Program. RHIA or RHIT preferredPrevious acute care hospital coding experience, with inpatient coding experience preferred. LANGUAGE SKILLS: Proven strong verbal and written communication skills. Customer service skills including effective listening skillsOTHER SKILLS and ABILITIES: Computer Skills including Microsoft OfficeAnalytical SkillsExtensive Reimbursement knowledgeQuality control/AuditingPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.VISUAL AND AUDITORY DEMANDS: All employees must possess adequate vision and hearing to safely perform their job functions. Employees involved in direct patient care must particularly have the hearing abilities to communicate with patients, to easily hear auditory alarms in order to assure patient safety. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus, ability to read a computer screen and written names and numbers.WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually low to moderate due to the telephone calls and people entering the department for information.
Wilson Memorial Hospital - 18 months ago