Role Description
This position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge.
Qualifications
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Completion of college level course work in Medical Terminology and Anatomy and Physiology.
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Minimum education level of Associates Degree (preferred).
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CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder).
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CCS credentials (Certified Coding Specialist -- Hospital based) (preferred).
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RHIT or RHIA credentials (preferred).
Requirements
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A minimum of two (2) years coding experience in an acute care hospital.
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Must work remotely from home; must reside in the state of Texas.
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Must be able to work in a virtual setting.
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Primarily sedentary work reviewing records and keying information using a computer monitor and keyboard.
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Quiet surrounding with adequate lighting.
Benefits
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Maintains patient confidentiality.
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Rounds regularly with patients, direct reports and/or customers.
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Acts as an employee ambassador.
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Committed to know hospital service lines and shows pride in our organization.
Job Specific Functions
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Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
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Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
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Attends the required corporate integrity and compliance training and education programs.
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Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
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Complies with all HIPAA standards.
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Consistently meets monthly productivity expectations.
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Responsible for final coding of outpatient accounts (Observation, Same Day Surgery and/or Emergency Department) with an average turnaround time of three (3) business days.
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Responsible for accurately assigning ICD-10-CM and applicable CPT codes based on information provided in the patient record, while maintaining an overall coding accuracy rate of 95% or greater.
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Responsible for responding to any audited accounts within three (3) business days of receipt.
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For ER accounts, responsible for capturing procedure charges as applicable.
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For observation accounts, responsible for capturing ER E/M level charges, applicable procedure charges, injections/infusions charges, and observation hour charges for patients that are admitted to observation.
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Works with Clinical Documentation Improvement (CDI) to prompt medical staff physicians for additional documentation as needed to clarify correct assignment of ICD-10-CM diagnosis and CPT procedure code assignment.
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Responsible for responding to Patient Financial Services (PFS) questions regarding coding assignments that generate errors within the billing editor within three (3) business days of receipt.
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Responsible for completing continuing education requirements to maintain coding credential. Must obtain a minimum of ten (10) continuing education units per year.
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Assists with other special projects as requested by the HIM Coding Manager and/or the HIM Department Director.