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Summary:
- As a member of the HIM Central Services coding team, this role provides inpatient coding assistance for a set of CHS hospitals.
- Reviews patient records and assigns accurate codes for each diagnosis and procedure.
- Applies knowledge of medical terminology, disease processes, and pharmacology while demonstrating data quality and integrity skills.
- Makes independent decisions regarding ICD-10-CM & PCS code assignments to ensure accurate billing and reimbursement potential.
Responsibilities:
- Performs remote coding for CHS hospitals via scanned medical records and abstracts using hospital abstracting systems.
- Primarily codes inpatient records but may also have experience in outpatient coding.
- Submits queries to providers for documentation clarification, including diagnosis clarification based on clinical indicators.
- Consults with the Manager, Corporate Coding, or other available resources to resolve difficult coding issues.
- Attends scheduled coding education.
- Maintains productivity levels set by CHS while ensuring 95% coding accuracy rate.
- Additional duties as assigned.
Requirements:
- High School Education or GED required.
- Proficient in ICD-10-CM & PCS coding.
- Preferred: Associate degree in Health Information Management or related field.
- Knowledge of prospective payment systems, anatomy, physiology, and medical terminology.
- Broad knowledge of pharmacology, indications for drug usage, and related adverse reactions.
- Preferred: 2 years of acute care hospital inpatient coding experience, including coding for complex cardiac and neuroscience procedures.
- Required License/Registration/Certification: CIC, CCS, RHIA, or RHIT.
- Experience with virtual desktop images, electronic medical record systems, and encoding systems.
