Coder - Inpatient - Per Diem

US-VT-Morrisville
2 years ago
Job ID
2015-1056
# of Openings
1
Category
Administrative
Type
Per Diem
Shift
Days
FLSA Status
Non-Exempt

Overview

Codes, abstracts and reviews inpatient records. Follows established guidelines for the use of ICD10 and CPT 4 coding systems and conventions. Responsible for assignment of diagnostic and procedural coding using a computerized Encoder and standard reference materials. Performs data entry into the Practice Management system. Refers non-routine/complicated cases to Supervisor. Compliance with all applicable State and Federal laws, regulations, and policies governing the provision of health care.

Responsibilities

  • Assigns accurate ICD-10-CM, Vol. 3 and CPT 4 codes according to ethical and established coding conventions to support compliance standards for appropriate reimbursement. Refers non-routine, complicated cases to Supervisor.
  • Competencies: The PPS accuracy rate is 96% and the coding accuracy rate is 91%. This is calculated by an external consultant for the department based on a sample of at least 30 records per annually, as well as an internal audit of 10 records per month.
  • Covers for other positions as needed and assigned during vacations periods.Advises Supervisor of any pending projects and/or ongoing linkage issues with other areas/Departments prior to scheduled absence.
  • Demonstrates up-to-date knowledge of record requirements; Regulatory, Hospital and Medical Staff Rules and Regulations.
  • Identifies cases requiring physician clarification on conflicting or ambiguous documentation issues that affect coding.Queries physician according to protocol.
  • Organizes and prioritizes assigned work, and schedules time to accommodate work demands, turn-around time requirements and follow up commitments.
  • Performs data entry for abstracting protocols using correct screens and consistent data definitions.
  • Productivity: 16 diagnostic outpatients or recurring outpatients; 10 ER diagnostics.per hr.
  • Recognizes and reports unusual circumstances and/or information with possible risk factors to the Supervisor.
  • Understands, complies with and supports Hospital standards for Confidentiality and Security.

Qualifications

License and Certification Requirements:

Current Coding Credential from AAPC (CPC) or AHIMA (CCS-P)

 

Experience Required:

Minimum of one year hospital coding or revenue cycle experience

 

Experience Desired:

Three years of experience in an acute care facility with knowledge of ICD-10 and CPT coding conventions. Computerized encoder use helpful

 

Education Required:

High School graduate or equivalent.
Graduate of an Accredited Coding Traing Program

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