[Hiring] HIM Coding Specialist @Great Plains Health

Role Description

The HIM Coding Specialist is responsible for coding accurately, diagnoses and procedures utilizing the International Classification of Diseases, Clinical Modification (ICD-9/10-CM) and/or the Current Procedural Terminology (CPT) coding systems. Assigns ICD-9/10-CM codes in the proper sequence to reach the appropriate DRG.

Qualifications

• Completion of required course work and/or degree for accreditation or registration with the American Health Information Management Association (AHIMA).
• Required accreditation as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) with AHIMA.
• Health Information Management (HIM) or Health Information Technology (HIT) graduate is preferred if accreditation is successfully completed within 6 months of employment.
• Membership in Clinical Coding Society (a division of AHIMA) is preferred.

Requirements

• Stand and/or walk frequently.
• Sit frequently.
• No lift and/or carry.
• No push and/or pull.
• Visual acuity and manual dexterity within normal limits.
• Bend, stoop, and crouch occasionally.
• Reach floor to overhead occasionally.
• Computer use frequently.

Essential Functions

• Demonstrates competency in Medical Record Abstract, Medical Record Control, Medical Record Index, and DRG/Case Mix applications in Affinity system.
• Demonstrates competency in using 3M Encoder.
• Demonstrates competency using ChartMaxx imaging system.
• Abstracts and verifies information such as service codes, time of discharge, surgical data, transferring status, observation times, and physician relationship from the medical record.
• Codes on records of patients under Series Outpatient Service Codes, Parent Accounts prior to the end of the month in which the Parent Account was created, if possible.
• Checks for uncoded Child accounts on said records on a routine basis.
• Demonstrates competencies established by Department Director/Coding DRG Coordinator.
• Demonstrates competency in ICD-9/10-CM and CPT coding by coding pursuant to coding rules of said coding systems.
• Assigns diagnostic and operative/procedure codes for inpatient and outpatient records, utilizing ICD-9/10-CM.
• Assigns CPT codes and Revenue Codes on Emergency Department (EDA/EDS service codes), Same Day Services (SDS), and other patients who have undergone outpatient procedures.
• Reviews each medical record to be coded, ensuring that there is sufficient documentation to support the ICD-9/10-CM or CPT-4 codes assigned.
• Checks deficiencies and inconsistencies in the medical record.
• Obtains any missing medical necessity documentation.
• Demonstrates ability to reorganize work in order to satisfy fluctuations in volume and staffing adjustments.
• Codes records as assigned and prioritized by the Coding/DRG Coordinator.
• Reviews APC edits on outpatient accounts and adds modifiers when necessary to produce clean billing claims.
• Provides coding assistance to Home Health in the absence or direction of the Coding/DRG Coordinator.
• Participates in audits of medical records for coding accuracy.
• Actively participates in education opportunities for continuing education and professional growth.
• Performs other duties as assigned by Coding/DRG Coordinator or HIM Director.

Benefits

• Supportive environment where collaboration is key.
• Every voice is valued.
• Opportunities for continuing education and professional growth.