A Brief OverviewResponsible for accurately and timely coding of outpatient and professional medical records following established coding, CMS regulations and hospital guidelines. Reviews all types of encounters and accurately codes diagnostic and procedural information following coding guidelines and regulations information including, facility specific guidelines and federal regulations.
What You Will Do- Reviews patient encounters and assigns diagnostic ICD-10-CM and or/procedural CPT codes according to established coding, CMS and hospital guidelines.
- Responsible for accurately coding hospital ancillary, ED, same day surgery, observation and/or professional physician services encounters.
- Maintains productivity and quality rate according to established standards.
- Ensures optimal CPT /ASC/APC/APG assessment.
- Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD and MUE.
- Works within UH billing time frames.
- Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Additional Responsibilities- Participates in educational and informational activities.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
%3Cb%3EEducation%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3EHigh School Equivalent / GED (Required) %3C/li%3E%3Cli%3EAssociate%27s Degree preferably in HIM (Preferred) or %3C/li%3E%3Cli%3EBachelor%27s Degree (Preferred) %3C/li%3E%3C/ul%3E%3Cb%3EWork Experience%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3E1+ years Of ICD-10-CM and/or CPT coding experience (Preferred) %3C/li%3E%3C/ul%3E%3Cb%3EKnowledge, Skills, %26amp; Abilities%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3E Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge. (Required proficiency) %3C/li%3E%3Cli%3E Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem solving ability. (Required proficiency) %3C/li%3E%3Cli%3E Notable client service, communication, presentation and relationship building skills. (Required proficiency) %3C/li%3E%3Cli%3E Ability to function independently and as a team player in a fast-paced, demanding work environment. (Required proficiency) %3C/li%3E%3Cli%3E Must have strong written and verbal communication skills. (Required proficiency) %3C/li%3E%3Cli%3E Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency) %3C/li%3E%3C/ul%3E%3Cb%3ELicenses and Certifications%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3ECertified Professional Coder (CPC) CPC, CPC-A, CPC-H, or CPC-P (Required Upon Hire) or %3C/li%3E%3Cli%3ECertified Coding Specialist (CCS) CCS, CCS-P (Required Upon Hire) or %3C/li%3E%3Cli%3ERegistered Health Information Technologist (RHIT) (Required Upon Hire) or %3C/li%3E%3Cli%3ERegistered Health Information Administration (RHIA) (Required Upon Hire) or %3C/li%3E%3Cli%3ECertified Coding Associate (CCA) (Required Upon Hire) or %3C/li%3E%3Cli%3E Radiology Coding Certification (RCC) (Required Upon Hire) or %3C/li%3E%3Cli%3E Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or %3C/li%3E%3Cli%3E Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire) %3C/li%3E%3C/ul%3E%3Cb%3EPhysical Demands%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3EStanding Occasionally %3C/li%3E%3Cli%3EWalking Occasionally %3C/li%3E%3Cli%3ESitting Constantly %3C/li%3E%3Cli%3ELifting Rarely up to 20 lbs %3C/li%3E%3Cli%3ECarrying Rarely up to 20 lbs %3C/li%3E%3Cli%3EPushing Rarely up to 20 lbs %3C/li%3E%3Cli%3EPulling Rarely up to 20 lbs %3C/li%3E%3Cli%3EClimbing Rarely up to 20 lbs %3C/li%3E%3Cli%3EBalancing Rarely %3C/li%3E%3Cli%3EStooping Rarely %3C/li%3E%3Cli%3EKneeling Rarely %3C/li%3E%3Cli%3ECrouching Rarely %3C/li%3E%3Cli%3ECrawling Rarely %3C/li%3E%3Cli%3EReaching Rarely %3C/li%3E%3Cli%3EHandling Occasionally %3C/li%3E%3Cli%3EGrasping Occasionally %3C/li%3E%3Cli%3EFeeling Rarely %3C/li%3E%3Cli%3ETalking Constantly %3C/li%3E%3Cli%3EHearing Constantly %3C/li%3E%3Cli%3ERepetitive Motions Frequently %3C/li%3E%3Cli%3EEye/Hand/Foot Coordination Frequently %3C/li%3E%3C/ul%3E%3Cb%3ETravel Requirements%3C/b%3E%3C/br%3E%3Cul%3E%3Cli%3E10% %3C/li%3E%3C/ul%3E