Coder II Professional Fee EINT_COFR

1 month ago

Broomfield, Colorado, United States SCL Health Full time

Job Description:The purpose of this position is to assign ICD-9-CM diagnosis
and procedure codes with the appropriate DRG assignment for inpatient
encounters, ICD-9-CM diagnosis and procedure codes, CPT-4 procedure
codes, and APC assignment for outpatient encounters. This is to ensure a
valid database used for research, reporting, quality improvement
activities, reduce days not final billed (DNFB), and appropriate
reimbursement.

Scope

1.Assigns ICD, CPT and HCPCS coding classifications based on clinical
documentationand/or physician orders. Utilizes appropriate tools,
resources and guidelines to determine codes and assigns first listed diagnosis
and secondary diagnoses. Obtains clarification from physicians, clinical
departments and others on documentation questions, as needed. Performs
coding at an at an intermediate level coding complexity.
2. Maintains assigned work queues within defined processing timeframe and
meets or exceeds productivity standards.
3. Verifies data abstracted and entered from the EMR. Ensures integrity of the
database for internal and external data reporting.
4. Responds in a timely manner to inquires from Revenue Services related to
use of codes and modifiers within the billing process to assure accuracy and
avoid delays in the billing process.
5. Adheres to all compliance guidelines, both internal and external.
Participates in continuing education programs to maintain an understanding of
anatomy, physiology, medical terminology, disease processes and surgical
techniques to support the effective application of coding guidelines and
maintain credentials.
6. Promotes mission, vision, and values of SCL Health, and abides by
service behavior standards.
7. Performs other duties as assigned.

Minimum Qualifications

Required
High School Diploma or equivalent required

Preferred
Associate Degree in Health Information or Healthcare related field preferred
Meet eligibility requirements to sit for one of the following credentials
Registered Health Information Administrator (RHIA), Registered Health
Information Technician (RHIT), or CertifiedCoding Specialist (CCS)
credential through AHIMA OR coding certification through American Academy of
Professional Coders (AAPC) including one of the following - Certified
Professional Coder (CPC) or Certified Outpatient Coder (COC) or
Certified Inpatient Coder (CIC) or or Certified Coding Associate through AHIMA
Minimum of one year coding experience that includes experience with both ICD
and CPT coding preferred

To perform this job successfully, an individual must be able to perform each
essential dutysatisfactorily. The requirements list must be representative of
the knowledge, skills, minimum education, training, licensure,
experience, and/or ability required. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential functions.
1. Successful completion of internal coding exam.
2. Navigates multiple software systems effectively and efficiently.
3. Utilizes critical thinking thought process to assign appropriate clinical
diagnosis and procedure codes in accordance with nationally recognized
guidelines.
4. Maintains knowledge of CPT codes assigned by departments at the time of
charging and alerts departments when improper CPT codes are entered to assure
accurate billing of accounts. Computer skills and 10-key typing proficiency.
5. General software skills with MS Office products, including Word and Excel.
6. Strong communication and integrity skills, both verbal and written, in
order to interpret medical documents and communicate effectively with medical
professionals especially related to compliance guidelines .
7. Ability to work independently in a remote environment.
8. Demonstrates attention to detail for accuracy requirements.
9. Familiar with coding software such as 3M encoder, Epic and computerized
assisted coding applications preferred.
10. Regular att ndance to perform work on site during regularly scheduled
business hours or scheduled shifts is required
1
1. Ability to work nights and/or weekends is required for identified positions

Physical Requirements:Hearing/listening, lifting, manual dexterity,
pulling/pushing, seeing, sitting, speaking, squatting/kneeling,
standing, and w

Anticipated job posting close date:08/05/2024

Location:Peaks Regional Office

Work City:Broomfield

Work State:Colorado

Scheduled Weekly Hours:40

The hourly range for this position is listed below. Actual hourly rate
dependent upon experience.$ $33.67

We care about your well-being - mind, body, and spirit - which is why we
provide our caregivers a generous benefits package that covers a wide range of
programs to foster a sustainable culture of wellness that encompasses living
healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho,
Nevada, and Utah based caregivers, and for our Colorado, Montana, and
Kansas based caregivers; and our commitment todiversity, equity, and


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