Role Description
Under the supervision of the Director or Manager, the Coder II is responsible for coding (using HCPCS/CPT and/or ICD-10-CM) all diagnoses and visit applicable procedures for the Emergency Department, Infusions Wound Care Clinic and Outpatient Ancillary encounters.
Qualifications
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Six (6) months Emergency Department coding experience utilizing ICD-10-CM codes and CPT required; will consider one year of outpatient or inpatient coding experience, utilizing ICD-10-CM and CPT codes in lieu of 6 months Emergency Department coding experience.
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Internal transfers: will consider one year Coder 1 experience at Tri-City Medical Center in lieu of 6 months Emergency Department coding experience.
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Wound Care Clinic encounters and Infusion Center coding experience utilizing CPT and/or ICD-10-CM codes, preferred.
Requirements
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Requires (1) one of the following:
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Current Registered Health Information Technician (RHIT)
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Current Certified Coding Specialist (CCS)
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Current Certified Coding Associate (CCA)
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Current Certified Professional Coder (CPC)
Essential Functions
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Maintains a safe, clean working environment, including unit based safety and infection control requirements.
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Codes encounters using HCPCS/CPT and/or ICD-10-CM coding guidelines according to Hospital-Based and quality monitoring criteria.
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Observes and reports unusual patterns in documentation (physician and/or nursing) that requires additional steps research in order for coding to be completed.
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Responsible for on-going education to maintain current professional certification. Responsible for the review and comprehension of current information regarding coding and compliance issues.
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Adheres to the AHIMA Standards of Ethical Coding developed by the AHIMA Council on Coding and Classification.
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Performs other related duties as requested by Management.
Knowledge, Skills, and Abilities
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Successful completion of coding skills assessment with a score of at least 70% that evaluates application of candidateโs knowledge, required.
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Knowledge of medical terminology, anatomy and physiology, compliance and reimbursement guidelines, required.
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Intermediate computer skills, required.
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Detail oriented with strong analytical skills, required.
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Ability to demonstrate flexibility in response to unexpected change in work volume and work schedule, required.
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Excellent human relationsโ skills including listening, conflict resolution, and team building, required.