Role Description
Responsible for accurately and timely coding of outpatient and professional medical records following established coding, CMS regulations and hospital guidelines. Reviews all types of encounters and accurately codes diagnostic and procedural information following coding guidelines and regulations including facility specific guidelines and federal regulations.
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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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Understands and resolves 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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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, 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).
Licenses and Certifications
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Certified Professional Coder (CPC), CPC-A, CPC-H, or CPC-P (Required Upon Hire)
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Certified Coding Specialist (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