Senior Hospital Coder

Senior Hospital Coder

Requirements

• AHIMA and or AAPC Credentials
• Credentials as CCS or CPC required: RHIA, RHIT preferred
• High School Diploma or GED. Preferred associates degree or progress towards a degree in Health Information Technology or Health Information Management
• Minimum 7 years coding experience or five years experience with an HIM -related associate degree or higher
• Ability to use a computerized medical record abstract and encoder
• Excellent command of the ICD-10-CM/PCS and CPT4 classification systems and DRG, APC and APG methodology
• Must be able to understand and comply with policies and procedures
• Ability to multi-task while utilizing multiple screens
• Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems
• Demonstrated excellent communication skills
• Maintains high coding quality and productivity as established by the department

Responsibilities

• Perform coding quality audits on staff and provide thorough education and feedback to the medical coding specialists
• Responsible for detailed reviews, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI
• Perform regularly scheduled audits as well as random audits
• Complete duties as assigned by the Quality Manager, including writing appeal letters and following trends in denials
• Inform management of trends and needs for improvement related to coding quality
• Work closely with the educator on developing training sessions and materials and working with the denial’s specialist for education and compliance
• Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases
• Code and abstract diagnostic and procedural information from physician documentation in the medical record using ICD-10-CM/PCS and CPT code sets
• Advise the coding staff of the appropriate registration patient types
• Assist in onboarding new staff
• Assist patient financial services personnel with coding/abstracting questions
• Assist with the training/orientation of employees as requested
• Maintain coding/abstracting skills through participation in a variety of educational offerings, and review of current literature in paper and electronic form
• Assist with monitoring the unbilled report, resolves issues and prioritizes work to maintain established accounts receivable targets
• Participate in the coding subcommittee groups actively contributing to the list of agenda items, resolution of issues and development of coding guidelines/quick reference guides
• Assign evaluation and management (E&M) codes and CPT procedure codes for Emergency Department Physician Professional services and technical components
• Resolve edits on error worklists working with Patient Billing and Finance
• Assign ICD-10 diagnosis codes on radiology, recurring, observation and dialysis encounters as requested
• Maintain patient confidentiality
• Participate in training as required
• Perform other duties as assigned

Preferred Qualifications

• Experience in Evaluation and Management Coding for Professional Emergency Visits and Ambulatory Surgery Coding Preferred
• Experience in Injection and Infusion Coding
• 3M 360 and EPIC experience preferred
• Experience working with CDI