Role Description
Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring.
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Accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record.
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Applies Official Coding Guidelines, CMS regulations/guidelines, and other coding standards established for use with the ICD-10 standard code set.
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Maintains quality and productivity standards and guidelines as set by the organization.
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Stays up-to-date on ICD-10-CM and PCS coding principles, governmental regulations, official coding guidelines, and third-party payer requirements.
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Possesses strong knowledge of MS-DRGs and APR-DRGs.
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Works collaboratively with providers and departments such as clinical documentation improvement and quality to standardize and enhance coding, documentation, and quality reporting related practices.
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Utilizes a variety of software solutions in the performance of daily work.
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Demonstrates flexibility and a strong commitment to teamwork, often in a home-based work setting.
Qualifications
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Associate degree in Health Information Technology (or eligible) or Bachelor's degree in Health Information Management and/or Certified Coding Specialist (CCS) required.
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Previous hospital coding experience highly desirable.
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Prior computer and/or encoder software experience desirable.
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Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required.
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New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment, and all subsequent dates thereafter until the exam is satisfactorily completed.
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If the individual fails the exam two consecutive times, there will be an evaluation by the Department Director who will determine one of the following:
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(A) Continue employment if overall job performance is satisfactory. If allowed to continue, failure to pass the exam on the third opportunity will result in immediate termination.
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(B) If performance is not satisfactory, the employee may be terminated.
Company Description
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in Americaβs heartland.