Out-patient Hospital Coder II

2 weeks ago

Tampa, United States Moffitt Cancer Center Full time
Out-patient Hospital Coder II (6 Months)
*Temporary Project Based Role*

Moffitt Cancer Center in Tampa, FL is recruiting for CODER II HOSPITAL OUTPATIENT. For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement

Position Highlights:The Health Information Management (“HIM”) Coder reviews, analyzes and codes diagnoses and procedures information that uses ICD-10-CM and ICD-10 PCS , and/or Diagnosis Related Group ("DRG coding").The coding function is a primary source for data and information used in health care today. It promotes provider/patient continuity, accurate database information and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, federal regulations and accreditation guidelines.

Responsibilities:
  • Determine the proper codes for all billable services utilizing ICD-10-CM & PCS code sets for inpatient assignment of diagnoses and procedures in the OPTUM Enterprise Computer Assisted Coding System. 
  • Utilizing the medical records in accordance with coding compliance with established coding clinic guidelines, federal regulations and accreditation code of ethics.
  • Code for 100% of medical records following discharge with 95% coding accuracy as demonstrated by coding audits and productivity of 1 encounter per hour.
  • Alerts Manager of HIM coding or Director of HIM in identifying and analyzing problems or issues that prevent the accurate and timely coding of medical records.
  • Maintain credentials/certification and education to stay current with all coding of ICD10CM and ICD10 PCS codes and Diagnosis Related Grouper along with and skills to accurately abstract and code medical records.
  • Utilize time management skills to ensure that all codes are entered and coding edits are handled prior to month end.
  • Knowledge and expertise necessary to perform the query process to clarify and confirm with clinical documentation.
  • Knowledge and expertise of All ICD10CM and ICD10PCS coding guidelines, Patient Refined Diagnosis Related Groupers ("APR DRG") and Medicare Severity Diagnosis Related Grouper ("MS DRG"). This must include AHA coding clinic guidelines, Severity of Ilnness ("SOI"), Risk of Morality ("ROM"), Complication or Comorbidity ("CC") or a Major Complication or Comorbidity ("MCC").

LICENSURE/CERTIFICATION:Only one (1) of the following certifications is required upon hire:
  • (CCS) Certified Coding Specialist.
  • (CCS-P) Certified Coding Spec-Phys.
  • (CPC) Cert Professional Coder.
  • (CPC-H) Cert Professional Coder-Hosp.
  • (CCA) Certified Coding Associate.
  • (COC) Certified Outpatient Coding.
  • (NRCCS) Nationally Registered Certified Coding Specialist.
  • (RHIT) Reg Health Info Technician.
  • (RHIA) Reg Health Info Administrator.
  • *Any relevant certification not listed above may be reviewed and considered by the business to satisfy this requirement.

Education and Experience:
  • High School/GED AND seven (7) years total health care coding experience (inclusive of a minimum of three (3) years outpatient coding experience) with ICD-10-CM, CPT.
    and HCPCS classification systems for evaluation management coders. One Certification is required.
    (OR).
  • AS/AA degree in HIM or other related health field AND five (5) years total health care coding experience (inclusive of a minimum of three (3) years outpatient coding experience) with ICD-10-CM, CPT
    and HCPCS classification systems for evaluation management coders. One Certification is required.
    (OR).
  • BS/BA degree in HIM or other related health field AND three (3) year health care outpatient coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders.
    One Certification is required.
  • Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
  • Experience in coding hospital inpatient medical records.
  • Excellent Communication and interpersonal skills.
  • Experience with automated patient care and billing systems.
  • Competence with MS Office software (Word, Excel and Outlook).
  • Knowledge of correct coding guidelines.

Preferred qualifications include:
  • Experience with coding oncology related services.
  • Competence in electronic medical record and encoder.

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