Healthcare Coding Specialist III

4 weeks ago

Dallas, Texas, United States Parkland Health and Hospital System (PHHS) Full time

Parkland Health and Hospital System (PHHS) is seeking a skilled Coding Specialist III to join our team. As a Coding Specialist III, you will play a critical role in ensuring the accuracy and integrity of patient medical information. This position requires a high level of proficiency in coding and abstracting, as well as excellent communication and leadership skills.

The primary purpose of this role is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient encounters. You will be responsible for assigning appropriate principle and secondary diagnosis and procedures codes for all episodes of care, ensuring accurate DRG assignment according to ICD-10-CM/PCS conventions and guidelines.

To be successful in this role, you will need to have a strong understanding of coding and abstracting principles, as well as excellent analytical and problem-solving skills. You will also need to be able to work effectively in a team environment and communicate complex information to both technical and non-technical stakeholders.

Responsibilities:

  • Assigns appropriate principle and secondary diagnosis and procedures codes for all episodes of care on inpatient encounters ensuring appropriate DRG assignment according to ICD-10-CM/PCS conventions, guidelines and hospital policy.
  • Achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.
  • Abstract statistical data from the medical record and enter information according to Parkland's guidelines, policies and procedures.
  • Demonstrate knowledge of billing, charging and coding requirements for governmental guidelines and private insurance payers. May verify, edit and/or enter charges based on documentation or insurance requirements reporting any discrepancies in a timely manner.
  • Coach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement.
  • Contributes with work flow, priorities for work completion, and communicating workflow issues to the supervisor. Identifies ways to improve work processes and improve customer satisfaction. Make recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the department and Parkland.
  • Collaborates with physicians and nurses by telephone or in writing to clarify or complete records by obtaining missing diagnoses, procedures or information, resolving ambiguous coding episodes to ensure that missing information is corrected and resubmitted for payment.
  • Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland's policies and guidelines.
  • Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding and abstracting of medical records. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
  • Audits error reports and maintains departmental quality standards, prepares and submits productivity logs to supervisor, as required.
  • Stays abreast of the latest developments, advancements, and trends in the field of coding and abstracting of health information management by attending workshops, reading professional journals, actively participating in professional organizations, and integrates knowledge gained into current work practices.
  • Maintains CE hours and renew annual coding credentials.

Requirements:

  • High school diploma required.
  • Must have successfully completed an approved coding program.
  • OR Must be a graduate of a health Information Management program.
  • Must have three (3) years of coding experience in an acute care Level I trauma hospital environment.
  • Physician office coding, charging and billing experience preferred.
  • Must be certified through the American Health Information Management Association as one of the following:
  • Registered Health Information Management Technician (RHIT)
  • Registered Health Information Management Administrator (RHIA)
  • Certified Coding Specialist (CCS) (Most desired of the certifications)

Preferred Qualifications:

  • Knowledge of Epic EHR and 3M 360 coding and abstracting software.
  • Knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC).

Work Environment:

Parkland Health and Hospital System is a tobacco and smoke-free campus.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.

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