Under the direction of the Coding Manager (defined below by coder type), the Coder II appropriately assigns MS/DRG’s, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinical data and assists in regular analyses of patient records. In addition, the Coder II provides coding insight and answers coding related questions for other inquiring physicians and SJHS employees.
Inpatient Coder II
This individual reports to the Inpatient Coding Manager and is responsible for coding inpatient charts for the Southern California and Southwest regions.
Outpatient Coder II:
This individual reports to the Outpatient Coding Manager and is responsible for coding outpatient charts for the Southern California and Southwest regions.
Essential Values-Based Competencies:
Demonstrates values-based competencies in line with the four core values that are the foundation of all activities performed by employees in order to achieve the Mission of the St. Joseph Health System.
Demonstrates competence in communication and interpersonal
Demonstrates competence in continuous improvement, continuous learning, accountability, and teamwork.
Demonstrates competence in customer/patient focus and adaptability.
Demonstrates competence in community orientation and stewardship.
Code patient charts including inpatient, outpatient, clinic and/or ED (depending on Inpatient or Outpatient role).
Meet all regulatory guidelines and standards applicable in the coding industry reaching and maintaining department set productivity standards.
Abstract into the database clinical and demographic data from patient medical record as required by state reporting requirements.
Monitor and perform follow-up on un-coded accounts to ensure timely billing to ensure Revenue Cycle month-end billhold goal is met.
Partner with the Case Managers or other applicable staff members and participate in CDI in order to assure proper and accurate documentation in patient records; query the physician when appropriate.
Maintain up to date knowledge of the current changes of coding practices by reading source material, such as Coding Clinic, Medicare Newsletters, and other professional journals.
Attend department meetings and attend/read all education workshops, Coding Round Table Meetings, or any other required meetings as determined by the Coding Manager.
Track ongoing issues and escalate to the Coding Manager in a timely manner.
Provide advisory on code selection and answer coding questions posed by physicians and SJHS employees.
Follow SJHS compliance coding policies and guidelines.
Review own work for accuracy and completeness prior to end of shift.
Meet productivity and quality goals/standards.
Adhere to health information regulations including HIPAA.
Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.
Perform other duties as assigned.
Additional Knowledge / Skills / Abilities:
Knowledge and comprehension of medical terminology, anatomy and physiology.
Current knowledge of MS/DRGs and APCs.
Current knowledge of ICD-9-CM and CPT codes.
Current knowledge of Windows, 3M coding software, and Meditech.
Current knowledge of State and Federal regulations regarding fraud and abuse, uniform ministry discharge data set standards.
Strong interpersonal, teamwork, and customer service skills.
Ability to maintain minimum standards of productivity and accuracy.
Strong analytical skills.
Ability to maintain confidentiality of patient, physician, and ministry information.
Minimum Position Qualifications:
High school diploma or equivalent required.
Pass department coding assessment test prior to date of hire. (75% or above).
1-3 years of CPT and/or ICD-9-CM acute care hospital coding experience required.
Preferred Position Qualifications:
Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS).
Associate/Bachelor’s Degree in Health Information Management.
AHA certified coding program.
Experience in other clinical or healthcare disciplines.
St. Joseph Health (SJH) is an integrated healthcare delivery system sponsored by the St. Joseph Health Ministry and organized into three regions: Northern California, Southern California, West Texas/Eastern New Mexico.
SJH provides a full range of care from facilities including 14 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician organizations. SJH maintains a 'continuum of care,' matched to the diverse needs of the urban centers, smaller cities and rural communities in three states. For the third year in a row in 2009, the Gallup Organization awarded St. Joseph Health its highest honor - the Great Workplace Award. SJH provides exceptional benefits, opportunities for advancement and relocation within the system.
St. Joseph Health is comprised of four core values: Service, Excellence, Dignity, and Justice are the guiding principles of all we do.
Excellent compensation program and benefits provided. SJH is an EEO/AA Employer.
St. Jude Medical Center
101 East Valencia Mesa Drive
St. Joseph Health
- 2 years ago - save job
St. Joseph Health (SJH) is an integrated healthcare delivery system sponsored by the St. Joseph Health Ministry and organized into three...