HIM Coding Specialist
The Coding Specialist performs coding and abstracting for Inpatient and Outpatient records accurately and timely in order to optimize reimbursement for all payer classes. Determines appropriate level of service utilizing Evaluation and Management Coding principles. Maintains an average accuracy of 97%. Must have excellent communication skills, have a passion to exceed customer satisfaction and quality standards, and enjoy working as a team.
- Supports and promotes an environment conducive with the Mission, Vision and Values of the hospital
- Analyses patients’ records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines
- Abstract any data required for the patients’ record
- Ensures timely data entry of codes
- Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis
- Confers with physicians regarding diagnoses and procedures to ensure accuracy
- Follow up with the provider on any documentation that is insufficient or unclear
- Ensures that documentation is appropriate to meet medical necessity guidelines
- Ensures the productivity and quality of coding the records
- Uses reference materials (coding books and 3M encoder) appropriately and efficiently
- Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately
- Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements
- Maintain orderly condition of assigned work area
- Maintain confidentiality of all patient, hospital, and physical related information
- Follows departmental procedures for archiving inactive records; pulls charts, prepares for and completes the approved destruction process of these charts
- Analyzes requests for medical information, evaluates legality of releases, abstracts pertinent portions of medical records, copies, mails and/or releases in accordance with departmental policies to safeguard patient confidentiality
- Communicate with other clinical team members regarding documentation
- Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements
- Other duties may be assigned and are subject to change with or without prior notice. answer the telephone and perform routine clerical tasks
- Completes assigned daily duties
- Accepts reassignment to other units if necessary
- Follows expected work practices
- Displays thoroughness and accuracy of work
- Works in a safe manner, including reporting unsafe equipment or environment
- Well organized, accepts assignments willingly and accomplishes them quickly
- Anticipates problems and suggest solutions
- Helps with not specifically assigned duties
- Works steadily and always keeps busy
- Maintain knowledge and skills necessary to communicate and interact with team members, patients, and visitors.
Experience using ICD-10, CPT, or equivalency.
Completed Medical Coding & Billing education or 2 years coding experience preferred.
Coding Certificate preferred but not required.
Highschool Diploma or GED required.