Role Description
Responsible for accurately and timely coding of outpatient and professional medical records following established coding, CMS regulations and hospital guidelines.
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Reviews patient encounters and assigns diagnostic ICD-10-CM and/or procedural CPT codes according to established coding, CMS and hospital guidelines.
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Responsible for accurately coding hospital ancillary, ED, same day surgery, observation and/or professional physician services encounters.
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Maintains productivity and quality rate according to established standards.
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Ensures optimal CPT /ASC/APC/APG assessment.
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Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD and MUE.
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Works within UH billing time frames.
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Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars.
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Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
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Maintains up to date credentials.
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Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Qualifications
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High School Equivalent / GED (Required)
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Associate's Degree preferably in HIM (Preferred)
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Bachelor's Degree (Preferred)
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1+ years of ICD-10-CM and/or CPT coding experience (Preferred)
Requirements
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Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency).
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Detail-oriented and organized, with excellent time-management skills, and good analytical and problem-solving ability (Required proficiency).
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Notable client service, communication, presentation and relationship building skills (Required proficiency).
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Ability to function independently and as a team player in a fast-paced, demanding work environment (Required proficiency).
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Strong written and verbal communication skills (Required proficiency).
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Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) (Required proficiency).
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Must be able to proficiently work within multiple systems (Required proficiency).
Licenses and Certifications
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Certified Professional Coder (CPC) CPC, CPC-A, CPC-H, or CPC-P (Required Upon Hire)
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Certified Coding Specialist (CCS) CCS, CCS-P (Required Upon Hire)
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Registered Health Information Technologist (RHIT) (Required Upon Hire)
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Registered Health Information Administration (RHIA) (Required Upon Hire)
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Certified Coding Associate (CCA) (Required Upon Hire)
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Radiology Coding Certification (RCC) (Required Upon Hire)
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Radiation Oncology Certified Coder (ROCC) (Required Upon Hire)
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Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)
Physical Demands
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Standing: Occasionally
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Walking: Occasionally
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Sitting: Constantly
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Lifting: Rarely up to 20 lbs
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Carrying: Rarely up to 20 lbs
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Pushing: Rarely up to 20 lbs
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Pulling: Rarely up to 20 lbs
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Climbing: Rarely up to 20 lbs
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Balancing: Rarely
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Stooping: Rarely
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Kneeling: Rarely
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Crouching: Rarely
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Crawling: Rarely
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Reaching: Rarely
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Handling: Occasionally
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Grasping: Occasionally
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Feeling: Rarely
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Talking: Constantly
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Hearing: Constantly
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Repetitive Motions: Frequently
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Eye/Hand/Foot Coordination: Frequently
Travel Requirements