Clinical Coding Specialist
3 weeks ago
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.
St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.
St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.
Personalized care together with advanced technology is what it means to be Community Strong
Responsibilities:
The Clinical Coding Specialist assigns the appropriate diagnostic and procedural codes to all inpatient and ambulatory surgery and observation discharges as required and according to hospital coding and billing rules for data retrieval, analysis and claims processing, adhering to established coding conventions and guidelines and UHDDS reporting guidelines.
Reviews/analyzes patient records via Meditech documentation navigation; use of 3M HDM system, 3M CRS software, and concurrent review of Nuance Clintegrity to apply accurate codes for diagnoses and procedures to establish reconciliation of patient data with Clinical Documentation Specialists. (CDS)
Verifies CDS clarifications to assure optimal coding of encounters.
Maintains education by attending training sessions, relevant organizational meetings, webinars, reviews Coding Clinics, etc. to enhance coding skills.
Asks for appropriate clarification; accesses resources to verify accuracy of coding.
Reviews Discharges Not Final Billed (DNFB) listing daily; prioritizes work accordingly with Coding Manager's input.
Maintains certification credentials.
Incorporates the Hospital and Department's Mission Statements in daily work activities.
Required to work flexible hours when necessary.
Must complete all required hospital in-service programs.
Performs other related assigned duties.
Performs unrelated duties in times of emergency.
Follows St. John’s Riverside Hospital attendance policy.
Regular attendance and timeliness are required in your job. This includes the following: (1) being at your work station ready for work by the start of your shift (2) taking only the time allowed for breaks (3) remaining at work during your entire shift, unless excused by a supervisor (4) leaving promptly at the end of your shift, unless you have been given advance permission from your supervisor to work past that point; and (5) calling in and personally notifying your supervisor or another member of management if you are going to be either absent or tardy, unless a verifiable emergency makes it impossible for you to do so.
Performs other related assigned duties.
Performs unrelated duties in times of emergency.
Extended sitting at PC
Some walking, bending and stretching as necessary within the department
Must be able to coordinate eyes and extremities in the performance of job related tasks and procedures.
Well lit, comfortable working conditions
Dual monitors for chart review and HDM access simultaneously
Qualifications:
High School Graduate or equivalent. • AHIMA Certified Coding Specialist (CCS), Certified Coding Associate (CCA) (Inpt) AAPC CPC (outpatient) ,5 years or more experience
3 - 5 years inpatient coding experience
Knowledge of PC operation
Effective communication skills with all levels in the organization
Team approach with CDI staff and Medical Staff
Computer literacy of hospital system (Meditech)
Knowledge of 3M HDM Coding System
Proficiency in medical record analysis and ICD 10 CM/PCS, CPT coding methodology and coding guidelines.
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