Hospital Coding Specialist II
4 weeks ago
To perform complete and accurate coding of accounts for purposes of coding, billing, and compliance with State and Federal regulations.
Responsibilities:
• Communicates cooperatively and constructively with physicians, physicians’ office personnel, guests, patients, and members of the healthcare team.
• Demonstrates good verbal communication skills.
• Accurately and optimally reviews medical records and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 classification systems and the encoder, CAC, and other system as instructed.
• Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing.
• Works with coding teams to assure completion of all coding within corporate goals.
• Provides data for reports on statistics, optimization, productivity, etc.
• Attends departmental and other meetings as requested.
• Maintains 95% accuracy and participates in department QA studies.
• Accurately abstracts information into hospital information system.
• Has a thorough knowledge and understanding of coding guidelines, procedures, medical necessity/CCI edits and the DRG reimbursement system.
• Assures confidentiality of patient information.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures
Qualifications:
Education/Training
• High School Diploma and completion of one of the following certifications:
o American Health Information Management Association's Independent Study program
o Coding certificate program
o Certified Coding Specialist (CCS)
o Certified Professional Coder (CPC)
o Certified Coding Associate (CCA).
• Computer literacy required.
• Medical terminology, anatomy and physiology required.
• New hires are required to score 80% or better on Orlando Health coding skills test -or- current team members must maintain a
coding accuracy rate of 95% within the six (6) previous consecutive months.
Licensure/Certification
Must maintain one of the following:
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
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