Role Description
As an experienced coder, you will be responsible for providing coding and abstracting services for clients on outpatient, physician, or emergency room medical records using ICD 10-CM, CPS, and CPT coding systems. You will use established coding principles, software, and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. As a coding leader, you will participate in industry forums as well as support coding education within the team.
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Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
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Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
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Ensures appropriate DRG assignment.
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Abstracts appropriate information from the medical record based on the guidelines provided by the client.
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Consistently meets productivity and quality performance requirements.
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Responsible for utilizing company applications to enter charts coded in real-time throughout the scheduled shift.
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Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record.
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Participates in team meetings and all training required by company staff or the client.
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May be asked to participate in training or shadowing of other coders.
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Flexibility in assignment over multiple clients to ensure meeting required classification hours.
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Participates in Coding Roundtables through presentation of materials, articles, and current issues related to coding and Health Information Management.
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Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
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Participates in education modules as assigned.
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Responsible for keeping coding credentials up to date and active.
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Maintains effective and professional communication skills.
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Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.
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Additional duties as assigned.
Qualifications
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CPC, COC, CIC, CCA, CCS, CCS-P, RHIT, or RHIA credentials required.
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Must have at least 3 years of experience coding a variety of Gen Surg procedures (Profee and Facility charts).
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Must have at least 2 years of experience coding Ophthalmology, Multi-Specialty charts (Profee and Facility charts).
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Epic/3M experience preferred, but can train.
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Ability and experience coding diagnosis, E&M, and CPTs.
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Excellent verbal and written communication skills.
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Must have a minimum of 3+ years of surgery experience coding a variety of procedures, including but not limited to: tonsillectomy, tumor excision, tracheostomy, lymph node removal, thyroid lobectomy, skin graft, laminotomy, facetectomy, foraminotomy, herniated disk repair, vertebral augmentation, spinal fixation, allograft, etc.
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Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.
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Extensive knowledge of ICD-10-CM and CPS and CPT coding principles and guidelines, reimbursement systems, federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and billing.
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Must pass coding proficiency test.
Requirements
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Requires strong interpersonal communication skills, both verbal and written.
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Requires a high level of coding accuracy and attention to detail.
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Excellent oral and written communication skills β must be detailed and articulate.
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Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required.
Working Conditions
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Remote working environment; extended periods of computer-based work.
Physical Demands
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Prolonged computer screen usage and keyboarding.
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Long periods of sitting are commensurate with computer-based work and work-related phone calls.
Compensation and Benefits
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The pay for this position is $28/hr - $32/hr, based on several factors including current market conditions, location, education, work experience, certifications, etc.
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IKS Health offers a competitive benefits package including healthcare, 401(k), and paid time off (all benefits are subject to eligibility requirements for full-time employees).