Coding Specialist lll

REMOTE ELIGIBLE IF YOU RESIDE IN : AL - FL- GA -KS -MO- MT- OK -PA -WY

HRRMC's Medical Records Department has a full time (40 hrs/week) position as a Medical Records Coding lll Specialist. Previous experience in a medical setting is required. The hours for the position will be Monday -Friday 8am to 4:30pm. This position has the possibility of working remote with required expreince and certifications.

EDUCATION PREFERRED:

• Bachelor degree

EXPERIENCE REQUIRED:

• Minimum of three years of healthcare experience working in a medical records department, patient financial services department, or provider practice.
• Minimum of five years experience coding outpatient or inpatient services and successful completion of a coding proficiency examination.
• Experience with electronic health records, encoder, and computer-assisted coding system.
• Coding auditing experience.
• Experience in training others.
• Customer service experience.

EXPREINCE PREFERRED:

• Claims and/or general auditing experience.

CERTIFICATES, LICENSES, REGISTRATIONS
Required:

• American Health Information Management Association (AHIMA):
• Certified Coding Specialist (CCS);or o Certified Coding Specialist Physician-based (CCS-P); or
• Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA); or
• American Academy of Professional Coders (AAPC):
• Certified Inpatient Coder (CIC); or
• Certified Outpatient Coder (COC); or
• Certified Professional Coder (CPC)

Preferred:

• Certified Professional Medical Auditor (CPMA)
• Certified Documentation Improvement Practitioner (CDIP)
• ICD-10 Train the Trainer certification

ESSENTIAL DUTIES PER AREA OF RESPONSIBILITY

1. Coding:
a. Ability to perform all duties of the Coding Specialist I & II Job Descriptions with a high degree of proficiency and accuracy.
b. Reviews and analyzes medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures.
c. Accurately assigns codes and abstracts principal diagnoses, complications, comorbid conditions, and procedures for all payor sources on inpatient or outpatient record types; enters data into the facility information system. Ability to code both inpatient and outpatient accounts proficiently.
d. Provides thorough, timely, and accurate assignments of codes and ensures codes reflect patient severity. Ensures that codes and charges are supported by medical record documentation.
e. Consults with or queries medical providers to clarify missing or inadequate information. Facilitates the timely completion of queries. Completes query trending spreadsheet, trends data, and reports monthly to management.
f. Collaborates with providers to obtain a greater level of specificity documented in the medical record and to ensure the record reflects the severity of illness and risk and mortality.
g. Verifies abstracted hospital information fields for accuracy and completeness, correcting as appropriate based upon information obtained from the medical record.
h. Conducts initial review of denials by agreeing or appealing coding change. Provides appropriate documentation from required sources to assist management when appealing an adverse determination.
i. Completes the Not Final Coded Days and Dollars spreadsheet on a daily basis. Reports issues/concerns to the director and/or designee.
j. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding and AHA Coding Clinic guidelines and advice.
k. Maintains 95% or greater accuracy in abstracting and code assignment.
l. Meets or exceeds coding established productivity standards and works as a team to maintain Discharged Not Final Coded (DNFC) days at or below three days.
m. Performs interim billing coding.

Benefits include Medical, Dental, and Vision Insurance, Life and AD&D Insurance Policies, LTD Policy, Flex Spending Account, Employee Assistance Program, REACH Air Membership, Employer Matching Retirement Funds and Paid Time Off.

All offers of employment are contingent upon the successful completion of a negative drug screen test*, criminal background check, reference checks, and infection prevention procedures: TB test, Flu Shot, immunization records, and acknowledgement of policies.

Apply Online: www.hrrmc.com