Data Coding Specialist, II

POSITION SUMMARY: Assigns appropriate ICD-10-CM/PCS to inpatient records, calculates the appropriate DRGs.# Abstracts inpatient and applicable data from the medical record and enters information into EPIC computer system ensuring optimal reimbursement, timely cash flow and accurate databases. Collaborates with the Clinical Documentation Integrity team to ensure code assign accurately reflects the patient#s condition.# Participates in continuous quality improvement activities and educational experiences in support of departmental philosophy and objectives, as well as Health System initiatives. EDUCATION/TRAINING: At least two years# experience working with a prospective payment system and assigning DRG#s are preferred.# Two years hospital coding experience preferred.# Completion of AHIMA approved coding program or class preferred.# High school diploma required. # LICENSURE/CERTIFICATION: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or eligible preferred. EXPERIENCE/SKILLS/ABILITIES: Knowledge of ICD-10-CM/PCS diagnoses and procedures and DRGs required.# Knowledge of the CPT/HCPCS required.# Excellent computer and keyboarding skills required with 3M encoder experience preferred.# Effective organizational, analytical, problem solving and interpersonal communication skills.# Ability to work independently in an environment with minimal instructions. Successful completion of annual job specific competencies and skill verification tools required. # ESSENTIAL FUNCTIONS: Assigns ICD-10-CM/PCS, ICD-9-CM and CPT-4 codes to inpatient, outpatient, and Emergency Department medical records in accordance with established coding guidelines utilizing computer assisted encoding system and audit tools ensuring compliance. Calculates and determines appropriate DRG#s for inpatient medical records and calculates appropriate APC#s for outpatient and ED records utilizing computerized grouper in accordance with department guidelines ensuring optimal third-party payor reimbursement.# Applies appropriate charges to ED records in accordance with coding guidelines and hospital policy. Interprets clinical information documented within the medical record and interprets coding rules, guidelines and regulations in accordance with established procedures.# Clarifies medical record documentation and effectively communicates with physicians to ensure expeditious reimbursement. Verifies and abstracts clinical, physician and demographic data of discharged patients in accordance with established patient database procedures. Enters and verifies patient coding and pertinent data into the Meditech system within established timeframes ensuring accurate information and positive cash flow. Review medical records, retrieves data and compiles information according to established criteria and quality control standards.# Abides by codes of Ethics and Corporate Compliance policies and maintains confidentiality of position acquired information. # Our Commitment to Diversity, Equity, and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day.#Applications from Black, Indigenous and People of Color (BIPOC) individuals,#LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged.##EOE, including disability/veterans.
POSITION SUMMARY:
Assigns appropriate ICD-10-CM/PCS to inpatient records, calculates the appropriate DRGs. Abstracts inpatient and applicable data from the medical record and enters information into EPIC computer system ensuring optimal reimbursement, timely cash flow and accurate databases. Collaborates with the Clinical Documentation Integrity team to ensure code assign accurately reflects the patient's condition. Participates in continuous quality improvement activities and educational experiences in support of departmental philosophy and objectives, as well as Health System initiatives.
EDUCATION/TRAINING:
At least two years' experience working with a prospective payment system and assigning DRG's are preferred. Two years hospital coding experience preferred. Completion of AHIMA approved coding program or class preferred. High school diploma required.
LICENSURE/CERTIFICATION:
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or eligible preferred.
EXPERIENCE/SKILLS/ABILITIES:
Knowledge of ICD-10-CM/PCS diagnoses and procedures and DRGs required. Knowledge of the CPT/HCPCS required. Excellent computer and keyboarding skills required with 3M encoder experience preferred. Effective organizational, analytical, problem solving and interpersonal communication skills. Ability to work independently in an environment with minimal instructions. Successful completion of annual job specific competencies and skill verification tools required.
ESSENTIAL FUNCTIONS:
* Assigns ICD-10-CM/PCS, ICD-9-CM and CPT-4 codes to inpatient, outpatient, and Emergency Department medical records in accordance with established coding guidelines utilizing computer assisted encoding system and audit tools ensuring compliance.
* Calculates and determines appropriate DRG's for inpatient medical records and calculates appropriate APC's for outpatient and ED records utilizing computerized grouper in accordance with department guidelines ensuring optimal third-party payor reimbursement. Applies appropriate charges to ED records in accordance with coding guidelines and hospital policy.
* Interprets clinical information documented within the medical record and interprets coding rules, guidelines and regulations in accordance with established procedures. Clarifies medical record documentation and effectively communicates with physicians to ensure expeditious reimbursement.
* Verifies and abstracts clinical, physician and demographic data of discharged patients in accordance with established patient database procedures.
* Enters and verifies patient coding and pertinent data into the Meditech system within established timeframes ensuring accurate information and positive cash flow.
* Review medical records, retrieves data and compiles information according to established criteria and quality control standards. Abides by codes of Ethics and Corporate Compliance policies and maintains confidentiality of position acquired information.
Our Commitment to Diversity, Equity, and Inclusion
UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.

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