A. Registered Health Information Technician (RHIT) with associate' s degree in health information technology from accredited program or Registered Health Information Administrator (RHIA) with bachelor's degree in health information administration from accredited program. B. Prefer at least 1-3 year of recent acute care hospital coding experience with inpatient or outpatient records. C. Achieve satisfactory score on Advocate's coding test. Attention to detail (such as interpretation of clinical data including medical terminology and disease processes).Analytical skills for abstracting of clinical data.Ability to interpret regulatory and payer rules and directives concerning coding.Computer experience. RHIT or RHIA - Code charts at various locations within the medical center complex and at off-site clinics. Must be flexible to work any day for a 7-day a week operation, including weekends, holidays, various shifts, and days in order to accommodate staffing needs.
This is an intermediate-advanced, experienced level coding position for an individual with coding education and experience consistent with the job qualifications. This is the requisite/standard coding position required to support all coding functions within the hospital Health Information Management Department. Performs all types of inpatient and outpatient coding function on all patient types under minimal to no supervision of coding supervisor. Is able to make independent judgments on how to proceed with incomplete or ambiguous cases with minimal supervisory intervention. Reviews medical record documentation to ensure the complete coding of all-relevant diagnoses and procedures for hospital billing. Assigns and sequences ICD-9-CM diagnoses and ICD-9-CM and CPT procedures in accordance with advice from Coding Clinic and ICD-9-CM Official Coding Guidelines and CPT Assistant (CPT/HCPCS) guidelines. Uses 3M coding products including encoder and groupers for Diagnosis Related Groups (DRG) and Ambulatory Payment Class (APC) for Medicare reimbursement and other third-party payers and for internal Advocate business/quality purposes. Abstracts selected demographic and clinical information to create a comprehensive database of information for billing purposes and internal data management. As the Coding Technician II gains knowledge, skills and the appropriate additional education and certification, the Coding Technician II may progress in the types of coding-related assignments given and begin to take on the role of coding resource person and/or quality analyst and may have the opportunity to be promoted to higher coding positions.Accountabilities: 1. Code all diagnoses and procedures according to the current International Classification of Disease, Clinical Modification (ICD-9-CM) and Physicians Current Procedural Terminology, current edition (CPT/HCPCS) rules and principles and coding guidelines utilizing a computerized encoding system. Coder may perform any of all of the following types of coding: I. All inpatient records including Medicare and Medicaid patients requiring Diagnosis Related Group (DRG) assignment for payment determinations. II. Same Day Surgery records including outpatient surgical procedures, GI laboratory procedures, cardiac and other therapeutic procedures including records that require Ambulatory Payment Classification (APC) assignment. III. Emergency Department visits and related procedures including records that required Ambulatory Payment Classification (APC) assignment. IV. Non-Medicare/Medicaid inpatient records V. Outpatient diagnostic records, including results of radiology, laboratory, cardiology, neurology and other tests VI. Outpatient therapeutic records including physical medicine, cardiac and pulmonary rehabilitation and other services VII. Clinic records that describe physician and other health care professionals evaluation and management of patients. VIII. Physician orders received in Registration/Access or Central Scheduling Departments for the purpose of medical necessity determination related to Medicares Local Medical Review Policies as needed to determine if an advance beneficiary notice should be issued. 2. Abstracts select data elements in accordance with established policies to create a complete and comprehensive database 3. Contacts physicians and other health care professionals and hospital department representatives to obtain diagnosis information required for coding and billing of outpatient services. 4. Maintains current knowledge of ICD-CM and CPT/HCPCS coding systems, as well as APCs and other outpatient reimbursement systems and maintains HIM and/or coding credential certification credential with AHIMA. 5. Contribute toward achieving the team goals for the Clinical Data Section. 6. Performance of other duties:
Advocate Health Care - 16 months ago