at Intermountain Health in Springfield, Illinois, United States
Job Description
Job Description:
The purpose of this position is to assign ICD-9-CM diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICD-9-CM diagnosis and procedure codes, CPT-4 procedure codes, and APC assignment for outpatient encounters. This is to ensure a valid database used for research, reporting, quality improvement activities, reduce days not final billed (DNFB), and appropriate reimbursement.
Scope
1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at an at an intermediate level coding complexity.
2. Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards.
3. Verifies data abstracted and entered from the EMR. Ensures integrity of the database for internal and external data reporting.
4. Responds in a timely manner to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process.
5. Adheres to all compliance guidelines, both internal and external. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials.
6. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
7. Performs other duties as assigned.
Minimum Qualifications
Required
High School Diploma or equivalent required
Preferred
Associate Degree in Health Information or Healthcare related field preferred
Meet eligibility requirements to sit for one of the following credentials Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or CertifiedCoding Specialist (CCS) credential through AHIMA OR coding certification through American Academy of Professional Coders (AAPC) including one of the following – Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Inpatient Coder (CIC) or or Certified Coding Associate through AHIMA (CCA) preferred
Minimum of one year coding experience that includes experience with both ICD and CPT coding preferred
To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Successful completion of internal coding exam.
2. Navigates multiple software systems effectively and efficiently.
3. Utilizes critical thinking thought process to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.
4. Maintains knowledge of CPT codes assigned by departments at the time of charging and alerts departments when improper CPT codes are entered to assure accurate billing of accounts. Computer skills and 10-key typing proficiency.
5. General software skills with MS Office products, including Word and Excel.
6. Strong communication and integrity skills, both verbal and written, in order to interpret medical documents and communicate effectively with medical professionals especially related to compliance guidelines .
7. Ability to work independently in a remote environment.
8. Demonstrates attention to detail for accuracy requirements.
9. Familiar with coding software such as 3M encoder, Epic and computerized assisted coding applications preferred.
10. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
1
1. Ability to work nights and/or weekends is required for identified positions
Physical Requirements:
Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.
Anticipated job posting close date:
08/05/2024
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.58 – $33.67
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
