Role Description
The Coder I Specialist - Professional Hospitalist/Outpatient ER Ancillary reviews electronic medical record documentation and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional hospitalist and office visits. This position abstracts key data elements necessary for billing and data analysis.
-
Accurately review and code patient records in the following clinical areas: Acute - Outpatient, Acute - All Inpatient Service Lines, and Ambulatory Level 3 Specialty Services, as reflected in the Franciscan Coding Tier Matrix.
-
Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines.
-
Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines.
-
Notify coding leadership of trends and topics for education and feedback to physicians and departments.
-
Identify and enter data elements for abstracting.
-
Participate actively in performance improvement teams, projects, and committees.
-
Serve as a Superuser and assist with system testing.
-
Serve as a backup to coding reimbursement specialist.
Qualifications
-
High School Diploma/GED - Required
-
Associate's Degree, Health Information Management - Preferred
-
Bachelor's Degree, Health Information Management - Preferred
-
2 years Coding - Preferred
-
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required
-
or Certified Coding Specialist - Physician (CCS-P) - American Health Information Management Association (AHIMA) - Required
-
or Certified Coding Associate - American Health Information Management Association (AHIMA) - Required
-
or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required
-
or Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required
Requirements
-
TRAVEL IS REQUIRED: Never or Rarely
-
JOB RANGE: Coder I Spcl Hospital Outpatient ER Ancillary $18.02-$26.81
-
INCENTIVE: Not Applicable
Benefits
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.