CentraCare Health
1406 6TH AVE N St Cloud Minnesota 56301 United States
This position will be onsite at the CentraCare Business Office during training for an indefinite amount of time. JOB SUMMARY:
This position is responsible for reviewing electronic and written documentation to convert into diagnostic and/or procedure codes. The coder will ensure that records are coded in an accurate and timely manner. Professional will communicate with clinical staff to allow for accurate translation of medical record documentation using appropriate code selection (ICD CM , CPT/HCPCS). May assist in performing quality and productivity audits, data collection and monitoring/reporting. Through efficient and accurate coding, the individual within this role will help ensure that CentraCare Health is properly reimbursed for the professional and/or facility services it provides. Safeguards patient privacy and confidentiality. Supports and implements patient safety and other safety practices as appropriate. Supports and demonstrates Family Centered Care principles when interacting with patients and their families and with co-workers. EDUCATION:
High School diploma or equivalent
Completion of college level courses or relevant experience in anatomy and physiology and medical terminology
Completion of coding course in ICD, CPT4, and HCPCS
LICENSES AND CERTIFICATIONS:
Current certification with AAPC or AHIMA
PREFERRED QUALIFICATIONS:
One-year experience in a medical office
Experience in ICD-10 and CPT coding
Previous experience working with EPIC
Working knowledge of insurance and third-party billing
ADDITIONAL QUALIFICATIONS:
Computer knowledge and keyboard skills
CentraCare Health and Carris Health have made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare Health and Carris Health are EEO/AA employers.
Feb 18, 2019
casual/on-call
This position will be onsite at the CentraCare Business Office during training for an indefinite amount of time. JOB SUMMARY:
This position is responsible for reviewing electronic and written documentation to convert into diagnostic and/or procedure codes. The coder will ensure that records are coded in an accurate and timely manner. Professional will communicate with clinical staff to allow for accurate translation of medical record documentation using appropriate code selection (ICD CM , CPT/HCPCS). May assist in performing quality and productivity audits, data collection and monitoring/reporting. Through efficient and accurate coding, the individual within this role will help ensure that CentraCare Health is properly reimbursed for the professional and/or facility services it provides. Safeguards patient privacy and confidentiality. Supports and implements patient safety and other safety practices as appropriate. Supports and demonstrates Family Centered Care principles when interacting with patients and their families and with co-workers. EDUCATION:
High School diploma or equivalent
Completion of college level courses or relevant experience in anatomy and physiology and medical terminology
Completion of coding course in ICD, CPT4, and HCPCS
LICENSES AND CERTIFICATIONS:
Current certification with AAPC or AHIMA
PREFERRED QUALIFICATIONS:
One-year experience in a medical office
Experience in ICD-10 and CPT coding
Previous experience working with EPIC
Working knowledge of insurance and third-party billing
ADDITIONAL QUALIFICATIONS:
Computer knowledge and keyboard skills
CentraCare Health and Carris Health have made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare Health and Carris Health are EEO/AA employers.
Billings Clinic
801 North 29th Street Billings Montana 59101 United States
Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD-CM, ICD PCS and/or CPT-4/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated delivery system, responsible for auditing or assigning CPT and E&M codes to clinic encounters by reading dictation, reviewing problem lists and intake forms, capturing primary and secondary ICD-CM diagnoses, adding HCPCS modifiers where necessary and verifying units of service for pharmacy items and supplies. Queries physicians to clarify clinical documentation. Educates physicians either concurrently or after-the-fact on coding and documentation and serves as an on-site resource for providers and staff
MINIMUM QUALIFICATIONS:
High school graduate or equivalent
Anatomy and medical terminology
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required or other AHIMA and/or AAPC recognized certification pertinent to the position, or an equivalent combination of education and experience relating to the above knowledge, skills and abilities and must become certified within twelve (12) months of employment.
One (1) year of health care or Billings Clinic experience preferred'
Feb 18, 2019
full time (30-40 hours per week)
Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD-CM, ICD PCS and/or CPT-4/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated delivery system, responsible for auditing or assigning CPT and E&M codes to clinic encounters by reading dictation, reviewing problem lists and intake forms, capturing primary and secondary ICD-CM diagnoses, adding HCPCS modifiers where necessary and verifying units of service for pharmacy items and supplies. Queries physicians to clarify clinical documentation. Educates physicians either concurrently or after-the-fact on coding and documentation and serves as an on-site resource for providers and staff
MINIMUM QUALIFICATIONS:
High school graduate or equivalent
Anatomy and medical terminology
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required or other AHIMA and/or AAPC recognized certification pertinent to the position, or an equivalent combination of education and experience relating to the above knowledge, skills and abilities and must become certified within twelve (12) months of employment.
One (1) year of health care or Billings Clinic experience preferred'
VCU Health System (Medical College of Virginia)
VCU Health System - MCV Hospitals Richmond Virginia 23219 US
VCU Health System's Clinical Documentation Improvement department is seeking a full time Clin Doc Review Specialist. This position will facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promote capture of clinical severity (later translated into coded data) to support the level of service rendered to relevant patient populations. Responsibilities Reviews inpatient medical records on a daily basis, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation. Collaborates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive health record documentation that reflects clinical treatment, decisions, diagnoses, and interventions. Utilizes the hospital's designated clinical documentation system to conduct reviews of the health record and identifies opportunities for clarification. Conducts follow-up of posted queries to ensure that queries have been answered and physician responses have been appropriately documented. Collaborates with CDI Educator to coordinate education related to compliance, coding, and clinical documentation issues within the healthcare organization, including rounding with the multidisciplinary healthcare team. Functions as a consultant to coding professionals when additional information or documentation is needed to assign coded data. Evaluates how the health record translates into coded data, including review of provider and other clinician documentation, lab results, diagnostic information, and treatment plans. Qualifications Required Bachelor's Degree in Nursing from an accredited School of Nursing Current RN licensure in Virginia or eligible Three (3) years of inpatient clinical nursing experience in an Integrated Health System Experience with personal computers and e-mail applications, internet and Microsoft applications, to include Word, Excel, Access and PowerPoint Knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs Preferred Minimum of five (5) years as a Clinical Documentation experience in an Integrated Health System Previous work one (1) experience with MS DRG's , APR-DRG's, Severity of Illness (SOI) and Risk of Mortality (ROM) Previous work experience with coding and clinical documentation software Knowledge of federal, state, and private payer regulations Registered Health Information Technologist/Administrator (RHIT /RHIA) OR Certified Coding Specialist (CCS) with years of inpatient coding in an acute care setting OR Clinical Documentation Improvement Professional (CDIP)(AHIMA) OR Certified Clinical Documentation Specialist (CCDS) (ACDIS)
Feb 17, 2019
Other
VCU Health System's Clinical Documentation Improvement department is seeking a full time Clin Doc Review Specialist. This position will facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promote capture of clinical severity (later translated into coded data) to support the level of service rendered to relevant patient populations. Responsibilities Reviews inpatient medical records on a daily basis, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation. Collaborates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive health record documentation that reflects clinical treatment, decisions, diagnoses, and interventions. Utilizes the hospital's designated clinical documentation system to conduct reviews of the health record and identifies opportunities for clarification. Conducts follow-up of posted queries to ensure that queries have been answered and physician responses have been appropriately documented. Collaborates with CDI Educator to coordinate education related to compliance, coding, and clinical documentation issues within the healthcare organization, including rounding with the multidisciplinary healthcare team. Functions as a consultant to coding professionals when additional information or documentation is needed to assign coded data. Evaluates how the health record translates into coded data, including review of provider and other clinician documentation, lab results, diagnostic information, and treatment plans. Qualifications Required Bachelor's Degree in Nursing from an accredited School of Nursing Current RN licensure in Virginia or eligible Three (3) years of inpatient clinical nursing experience in an Integrated Health System Experience with personal computers and e-mail applications, internet and Microsoft applications, to include Word, Excel, Access and PowerPoint Knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs Preferred Minimum of five (5) years as a Clinical Documentation experience in an Integrated Health System Previous work one (1) experience with MS DRG's , APR-DRG's, Severity of Illness (SOI) and Risk of Mortality (ROM) Previous work experience with coding and clinical documentation software Knowledge of federal, state, and private payer regulations Registered Health Information Technologist/Administrator (RHIT /RHIA) OR Certified Coding Specialist (CCS) with years of inpatient coding in an acute care setting OR Clinical Documentation Improvement Professional (CDIP)(AHIMA) OR Certified Clinical Documentation Specialist (CCDS) (ACDIS)
Southern Ohio Medical Center
1805 27th St. Portsmouth Ohio 45662 United States
GENERAL SUMMARY
The Health Information Manager (Documentation & Operations) reports to the Administrative Director of Health Information Management. The primary job function is to provide the leadership and management skills necessary to develop, implement, monitor and coordinate the day to day operations of the Clinical Documentation Specialists and HIM operations personnel. This Manager is responsible for managing and securing patient records, monitoring chart deficiencies, and overseeing the functions of the electronic record system. The Manager is also responsible of overseeing the clinical documentation program, working closely with Providers on deficiency resolution and obtaining documentation to support the appropriate severity of illness, risk of mortality and complexity of patient care. Works closely with the Director, Manager of Coding and Reimbursement and the HIM Educator to maintain a collaborative approach for a successful leadership team. Performs other duties as assigned.
QUALIFICATIONS
Education:
High School Diploma or successful completion of an equivalent High School Exam Required
Bachelors Degree in a Healthcare related field, or equivalent experience required
Successful completion of a Coding Program or enrollment within 90 days of hire required
Licensure:
CCS or other Healthcare certification within 2 years of hire required
Experience:
One year of management experience required
One year experience in Coding and/or revenue enhancement preferred
Interpersonal Skills:
Excellent interpersonal skills in dealing with coworkers and the public.
Essential Technical/Motor Skills:
Ability to type in order to access information in a computer.
Essential Physical Requirements:
Ability to lift, push, carry, and file charts.
Essential Mental Requirements:
Ability to understand written and verbal directions in order to communicate with staff and customers. Ability to concentrate and pay close attention to detail in order to produce monthly quality reports.
Essential Sensory Requirements:
Ability to see and read medical information. Sufficient hearing to perform duties.
Exposure to Hazards:
None
Other:
None
JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Selects, trains, orients, evaluates and counsels employees in CDS and operations, including transcription.
Keeps current on all HIM electronic record, chart release and documentation regulations and processes.
Monitors productivity and performance of documentation specialists, transcriptionist and technician II personnel and takes corrective action as needed.
Fills in for clinical documentation as needed during high volume, vacation or illness.
Monitors CDS data and variance reports and makes work flow adjustments as needed
Assists Administrative Director with department budget.
Builds working relationships with providers, office managers and ancillary staff to work together on documentation improvement and chart completion.
Oversees the day to day operations of chart processing, chart completion, correspondence and transcription.
Responsible for initiation of and oversees electronic record process and works with IS to ensure that process is operating as designed.
Provides and oversees educational opportunities for nursing and ancillary staff in regard to documentation and reimbursement.
Oversees the clinical documentation program to maintain compliance with documentation requirements by insurance providers while optimizing reimbursement.
Oversees the day to day operation of clinical documentation as well as works closely with physician advisor and other providers for query resolution.
Feb 17, 2019
Full-time
GENERAL SUMMARY
The Health Information Manager (Documentation & Operations) reports to the Administrative Director of Health Information Management. The primary job function is to provide the leadership and management skills necessary to develop, implement, monitor and coordinate the day to day operations of the Clinical Documentation Specialists and HIM operations personnel. This Manager is responsible for managing and securing patient records, monitoring chart deficiencies, and overseeing the functions of the electronic record system. The Manager is also responsible of overseeing the clinical documentation program, working closely with Providers on deficiency resolution and obtaining documentation to support the appropriate severity of illness, risk of mortality and complexity of patient care. Works closely with the Director, Manager of Coding and Reimbursement and the HIM Educator to maintain a collaborative approach for a successful leadership team. Performs other duties as assigned.
QUALIFICATIONS
Education:
High School Diploma or successful completion of an equivalent High School Exam Required
Bachelors Degree in a Healthcare related field, or equivalent experience required
Successful completion of a Coding Program or enrollment within 90 days of hire required
Licensure:
CCS or other Healthcare certification within 2 years of hire required
Experience:
One year of management experience required
One year experience in Coding and/or revenue enhancement preferred
Interpersonal Skills:
Excellent interpersonal skills in dealing with coworkers and the public.
Essential Technical/Motor Skills:
Ability to type in order to access information in a computer.
Essential Physical Requirements:
Ability to lift, push, carry, and file charts.
Essential Mental Requirements:
Ability to understand written and verbal directions in order to communicate with staff and customers. Ability to concentrate and pay close attention to detail in order to produce monthly quality reports.
Essential Sensory Requirements:
Ability to see and read medical information. Sufficient hearing to perform duties.
Exposure to Hazards:
None
Other:
None
JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Selects, trains, orients, evaluates and counsels employees in CDS and operations, including transcription.
Keeps current on all HIM electronic record, chart release and documentation regulations and processes.
Monitors productivity and performance of documentation specialists, transcriptionist and technician II personnel and takes corrective action as needed.
Fills in for clinical documentation as needed during high volume, vacation or illness.
Monitors CDS data and variance reports and makes work flow adjustments as needed
Assists Administrative Director with department budget.
Builds working relationships with providers, office managers and ancillary staff to work together on documentation improvement and chart completion.
Oversees the day to day operations of chart processing, chart completion, correspondence and transcription.
Responsible for initiation of and oversees electronic record process and works with IS to ensure that process is operating as designed.
Provides and oversees educational opportunities for nursing and ancillary staff in regard to documentation and reimbursement.
Oversees the clinical documentation program to maintain compliance with documentation requirements by insurance providers while optimizing reimbursement.
Oversees the day to day operation of clinical documentation as well as works closely with physician advisor and other providers for query resolution.
Altru Health System
1200 S Columbia Rd Grand Forks North Dakota 58206-6002 United States
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Feb 15, 2019
Full-time
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Altru Health System
1200 S Columbia Rd Grand Forks North Dakota 58206-6002 United States
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Feb 14, 2019
Full-time
The Coder is responsible for coding diseases, procedures, and operations for professional and facility services within Altru Health System. This position serves as a resource for staff for documentation and coding issues. The Coder monitors daily activity reports to assure all encounters are being coded, and performs documentation review and audits to validate coding efforts.
Essential Job Functions
Title and Description
Coder Accred - Coding
Utilizes the electronic medical record to code diseases, procedures, and operations with the current diagnosis and procedure classifications for both professional and facility services.
Coder Accred - Resources
Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines.
Coder Accred - Partners
Partners with providers for quality, optimum coding by engaging in on-going feedback on updated coding criteria and guidelines.
Coder Accred - Guidelines
Communicates current procedure and diagnosis coding guidelines with providers. Serves as a resource regarding documentation and coding issues.
Coder Accred - Denials
Assists Business Office staff in the resolution of coding related denials guidelines and take corrective action for claim resubmission for reimbursement.
Coder Accred - Daily Activity
Monitors daily activity reports to assure all encounters are being coded and submitted for billing.
Coder Accred - Documentation
Performs documentation review and audits to validate coding. Works with physicians and leaders to interpret coding data reports and trends.
Other Duties
Performs other duties as assigned or needed to meet the needs of the department/organization.
Safety & Compliance
Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.
Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.
Demonstrates knowledge and understanding of and compliance with:
All pertinent safety, health and environmental policies, procedures and guidelines.
Working safely, without causing harm or risk to self, others or property.
The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.
The use of all safety equipment and personal protective equipment.
Behavior Standards
Integrity: We will always do the right thing even when no one is watching.
Acknowledge: We will create a welcoming, healing environment.
Meaningful: We will provide an exceptional patient experience.
Accountable: We will accept responsibility for our actions and behaviors.
Listen: We will listen and seek to understand.
Team: We will work together to deliver world-class care.
Respect: We will treat each other with respect.
Understand: We will seek to understand and respond genuinely.
License, Certification & Registration
Title
Credentialing Body
Timeframe When Needed
Verified By
Certified Coding Associate (CCA)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist (CCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Coding Specialist - Physician Based (CCS-P)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Professional Coder-Hospital Outpatient (CPC-H)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Certified Provider Credentialing Specialist (CPCS)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Registered Health Information Technician (RHIT)
American Health Information Mgmt. (AHIMA)
Within 24 Months of Start Date
HR Primary Sources
Notes
May be certified in one of the above.
Education & Experience
Degree/Diploma
Program of Study
Required/Preferred
Experience
Experience
Required/Preferred
Knowledge & Skills
Title
Required/Preferred
Demonstrates knowledge of CPT, ICD-10, HCPCS, and revenue codes.
Required
Physical Demands
Activity
Frequency
Sit
Continuously (>67%)
Stand
Frequently (34-66%)
Walk
Occasionally (5-33%)
Stoop/Bend
Occasionally (5-33%)
Reach
Frequently (34-66%)
Climb
Not Applicable
Crawl
Not Applicable
Squat/Crouch/Kneel
Rarely (67%)
See
Continuously (>67%)
Hear
Continuously (>67%)
Weight Demands
Activity
Amount
Lift - Floor to Waist Level
Sedentary (
Functional Assessment
Type
Not Applicable
Craig Hospital
3425 South Clarkson St Englewood Colorado 80113 United States
Position Summary:
The Release of Information Specialist II is responsible for responding to written and verbal requests for release of information from medical records in accordance with confidentiality, privacy and security policies and procedures. This position will be responsible for assisting with the medical staff and AHP credentialing process and the biennial reappointment process. This position provides secondary telephone coverage to main phone number by answering and processing incoming telephone calls and serves as back up to the receptionist by assisting patients, staff, and all other customers. Primary methods of researching information include phones, internet, faxes, emails and letters. This position will coordinate external case manager needs and transcribe dictation as needed. Position Requirements:
Licensure/Certification/Registrations: Registered Health Information Technician (RHIT) or eligible to write the accreditation examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification or Registered Health Information Administration(RHIA) or eligible to write the registration examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification.
Education: Bachelor or Associate degree in Health Information Management
Experience: 3-5 years of HIM experience required; previous experience in release of information practices required. 1-3 years of Quality Assurance experience preferred. 1-3 years medical credentialing experience preferred.
Skills & Abilities: Excellent organizational skills. Outstanding written and oral communication skills, Ability to work independently but also collaboratively as a member of a team. Ability to organize, prioritize and meet deadlines, while effectively managing multiple projects simultaneously. Ability to successfully handle multiple priorities, prioritize appropriately and manage frequent interruptions. Good problem-solving skills, detail oriented and excellent follow-through. Ability to relate to persons of all ages and diverse backgrounds, skills and abilities. Knowledge of basic medical terminology and medical record organization and content; Ability to determine if an authorization for release of information is HIPAA compliant. The ability to prepare letters and other written communications using proper grammar, spelling and punctuation; must be able to successfully and effectively communicate with a variety of personnel. Ability to deal with diverse and confidential information with discretion and good judgment. Must have strong computer skills and be proficient in all Microsoft Office products. Respond in a timely manner to requests for release of medical information according to state and federal regulations and hospital policies insuring that information is only released upon receipt of a HIPAA compliant authorization and insure that only the minimum necessary information is released.
Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
Process continuing care requests and authorizations for current inpatients to release to providers for continuing care.
Monitor the failed transcription/fax application queue and process any dictations that did not successfully fax.
Coordinate the him portion of the quarterly outreach clinic, which includes the tracking of document completion, processing release of information requests as they pertain to the outreach clinic.
Communicate with attorneys and law enforcement, auditors, and insurance company representatives as well as other members of the craig hospital team regarding requests as needed.
Identify the monthly extended stay review cases, prepare and distribute the appropriate checklist for each case and compile the summary table for the msec meeting.
Assist with the data retrieval for medical staff clinical monitors and other quality improvement related studies, based on pre-established criteria.
Assist patients and staff with the hipaa privacy policies and procedures relative to the him department responsibilities regarding authorizations, patient access, request for amendments, accounting of disclosures and minimum necessary standards.
Respond to requests for medical staff appointment verifications and reference information concerning medical staff members and allied health professionals.
Assist with processing the medical staff and allied health professional appointment and reappointment applications.
Provide point of contact scanning training as needed and troubleshoots any technical problems associated with this process.assist with prepping and scanning of documents into the ehr
Position Responsibilities:
Communicate to requester when information cannot be provided within the expected time frame due to lack of adequate authorization or waiting for complete documentation in the medical record.
Assist with implementation of credentialing application, EHR and other applications, as applicable..
Complete follow-up on partially completed requests at a minimum of once per week.
Provide secondary telephone coverage in absence of the Health Information Coordinator.
In absence of Health Information Coordinator, assist patients with obtaining copies of their medical records according to the Colorado Board of Health patient access regulations and hospital procedures, obtain medical records and/or radiology images from other health care facilities and perform timely follow up to ensure receipt, answer the department voice mail system.
Assist with ensuring appropriate authorizations have been obtained prior to allowing external case managers to visit the nursing units to see current inpatients and have access to their medical record. Coordinate any external case managers on site to perform retrospective review of the record.
Distribute EHR clinical documentation reports to the external insurance case managers. Update case manager contact information in EHR as needed.
Scan correspondence documents into archival system.
Become familiar with and follow hospital wide and department specific policies and procedures; seeking assistance from management when clarification or assistance is needed.
Assist other staff members as requested
Feb 14, 2019
Full-time
Position Summary:
The Release of Information Specialist II is responsible for responding to written and verbal requests for release of information from medical records in accordance with confidentiality, privacy and security policies and procedures. This position will be responsible for assisting with the medical staff and AHP credentialing process and the biennial reappointment process. This position provides secondary telephone coverage to main phone number by answering and processing incoming telephone calls and serves as back up to the receptionist by assisting patients, staff, and all other customers. Primary methods of researching information include phones, internet, faxes, emails and letters. This position will coordinate external case manager needs and transcribe dictation as needed. Position Requirements:
Licensure/Certification/Registrations: Registered Health Information Technician (RHIT) or eligible to write the accreditation examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification or Registered Health Information Administration(RHIA) or eligible to write the registration examination of the American Health Information Management Association and including valid bi-annual AHIMA re-certification.
Education: Bachelor or Associate degree in Health Information Management
Experience: 3-5 years of HIM experience required; previous experience in release of information practices required. 1-3 years of Quality Assurance experience preferred. 1-3 years medical credentialing experience preferred.
Skills & Abilities: Excellent organizational skills. Outstanding written and oral communication skills, Ability to work independently but also collaboratively as a member of a team. Ability to organize, prioritize and meet deadlines, while effectively managing multiple projects simultaneously. Ability to successfully handle multiple priorities, prioritize appropriately and manage frequent interruptions. Good problem-solving skills, detail oriented and excellent follow-through. Ability to relate to persons of all ages and diverse backgrounds, skills and abilities. Knowledge of basic medical terminology and medical record organization and content; Ability to determine if an authorization for release of information is HIPAA compliant. The ability to prepare letters and other written communications using proper grammar, spelling and punctuation; must be able to successfully and effectively communicate with a variety of personnel. Ability to deal with diverse and confidential information with discretion and good judgment. Must have strong computer skills and be proficient in all Microsoft Office products. Respond in a timely manner to requests for release of medical information according to state and federal regulations and hospital policies insuring that information is only released upon receipt of a HIPAA compliant authorization and insure that only the minimum necessary information is released.
Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
Process continuing care requests and authorizations for current inpatients to release to providers for continuing care.
Monitor the failed transcription/fax application queue and process any dictations that did not successfully fax.
Coordinate the him portion of the quarterly outreach clinic, which includes the tracking of document completion, processing release of information requests as they pertain to the outreach clinic.
Communicate with attorneys and law enforcement, auditors, and insurance company representatives as well as other members of the craig hospital team regarding requests as needed.
Identify the monthly extended stay review cases, prepare and distribute the appropriate checklist for each case and compile the summary table for the msec meeting.
Assist with the data retrieval for medical staff clinical monitors and other quality improvement related studies, based on pre-established criteria.
Assist patients and staff with the hipaa privacy policies and procedures relative to the him department responsibilities regarding authorizations, patient access, request for amendments, accounting of disclosures and minimum necessary standards.
Respond to requests for medical staff appointment verifications and reference information concerning medical staff members and allied health professionals.
Assist with processing the medical staff and allied health professional appointment and reappointment applications.
Provide point of contact scanning training as needed and troubleshoots any technical problems associated with this process.assist with prepping and scanning of documents into the ehr
Position Responsibilities:
Communicate to requester when information cannot be provided within the expected time frame due to lack of adequate authorization or waiting for complete documentation in the medical record.
Assist with implementation of credentialing application, EHR and other applications, as applicable..
Complete follow-up on partially completed requests at a minimum of once per week.
Provide secondary telephone coverage in absence of the Health Information Coordinator.
In absence of Health Information Coordinator, assist patients with obtaining copies of their medical records according to the Colorado Board of Health patient access regulations and hospital procedures, obtain medical records and/or radiology images from other health care facilities and perform timely follow up to ensure receipt, answer the department voice mail system.
Assist with ensuring appropriate authorizations have been obtained prior to allowing external case managers to visit the nursing units to see current inpatients and have access to their medical record. Coordinate any external case managers on site to perform retrospective review of the record.
Distribute EHR clinical documentation reports to the external insurance case managers. Update case manager contact information in EHR as needed.
Scan correspondence documents into archival system.
Become familiar with and follow hospital wide and department specific policies and procedures; seeking assistance from management when clarification or assistance is needed.
Assist other staff members as requested
LCMC Health
200 Henry Clay Ave New Orleans Louisiana 70118 United States
LCMC Health is a Louisiana-based, not-for-profit healthcare system serving the needs of the people of Louisiana, the Gulf South and beyond. LCMC Health currently manages award-winning hospitals including Children's Hospital New Orleans, Touro, New Orleans East Hospital, West Jefferson Holding, LLC, and University Medical Center New Orleans. LCMC Health supports its outstanding local hospitals as they deliver exceptional, compassionate healthcare to the communities they serve. Please explore our website to learn more about the work we do and our commitment to community-focused healthcare.
The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider based clinics. KEY RESPONSIBILITIES:
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.
Must possess knowledge of third party reimbursement regulations and billing practices.
Experience utilizing encoding/grouping software.
Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.
High ethical standards.
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
Knowledge of hospital and professional coding including provider based billing.
Knowledge of documentation regulations of Joint Commission and CMS.
Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.
Experience in assisting and identifying learning needs as well as providing training to coding staff.
Strong analytical abilities and problem-solving skills.
Excellent oral, written and interpersonal communication skills.
Ability to organize and set priorities to ensure objectives are met in a timely manner.
Ability to adapt to change and handle challenges proactively and with pose.
Ability to effectively collaborate with physicians and managerial staff at all levels.
EDUCATION/EXPERIENCE/LICENSURE:
Education: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program, or Associate degree in health information management or related field or an equivalent combination of years of education and experience required.
Experience: Minimum one (1) year of current ambulatory/ provider based-clinics and outpatient/ancillary coding required. Minimum two (2) years of current ambulatory/ provider based-clinics, outpatient and/or inpatient coding required.
Certification/Licensure:
Ambulatory/ Provider Based Clinics Coding Certification Required: CPC, COC, CIC, CPC-P, CRC or CCA from an approved certified coding program (AAPC and/or AHIMA).Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
Outpatient/Inpatient Facilities Coding Certification Required: RHIT, COC, CIC or CCA from an approved certified coding program (AAPC and/or AHIMA). Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
CCS preferred.
New incumbents to LCMC Health system required to have coding certification (i.e. CPC, COC, CIC, CPC-P, CRC, Specialty, or CCA).
LCMC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.
Feb 13, 2019
Full-time
LCMC Health is a Louisiana-based, not-for-profit healthcare system serving the needs of the people of Louisiana, the Gulf South and beyond. LCMC Health currently manages award-winning hospitals including Children's Hospital New Orleans, Touro, New Orleans East Hospital, West Jefferson Holding, LLC, and University Medical Center New Orleans. LCMC Health supports its outstanding local hospitals as they deliver exceptional, compassionate healthcare to the communities they serve. Please explore our website to learn more about the work we do and our commitment to community-focused healthcare.
The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider based clinics. KEY RESPONSIBILITIES:
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.
Must possess knowledge of third party reimbursement regulations and billing practices.
Experience utilizing encoding/grouping software.
Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.
High ethical standards.
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
Knowledge of hospital and professional coding including provider based billing.
Knowledge of documentation regulations of Joint Commission and CMS.
Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.
Experience in assisting and identifying learning needs as well as providing training to coding staff.
Strong analytical abilities and problem-solving skills.
Excellent oral, written and interpersonal communication skills.
Ability to organize and set priorities to ensure objectives are met in a timely manner.
Ability to adapt to change and handle challenges proactively and with pose.
Ability to effectively collaborate with physicians and managerial staff at all levels.
EDUCATION/EXPERIENCE/LICENSURE:
Education: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program, or Associate degree in health information management or related field or an equivalent combination of years of education and experience required.
Experience: Minimum one (1) year of current ambulatory/ provider based-clinics and outpatient/ancillary coding required. Minimum two (2) years of current ambulatory/ provider based-clinics, outpatient and/or inpatient coding required.
Certification/Licensure:
Ambulatory/ Provider Based Clinics Coding Certification Required: CPC, COC, CIC, CPC-P, CRC or CCA from an approved certified coding program (AAPC and/or AHIMA).Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
Outpatient/Inpatient Facilities Coding Certification Required: RHIT, COC, CIC or CCA from an approved certified coding program (AAPC and/or AHIMA). Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
CCS preferred.
New incumbents to LCMC Health system required to have coding certification (i.e. CPC, COC, CIC, CPC-P, CRC, Specialty, or CCA).
LCMC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, disability status, protected veteran status, or any other characteristic protected by law.
Maricopa Integrated Health System
Maricopa Medical Center Phoenix Arizona 85008 US
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
Feb 12, 2019
Other
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
Maricopa Integrated Health System
Maricopa Medical Center Phoenix Arizona 85008 US
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
Feb 12, 2019
Other
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
Maricopa Integrated Health System
Maricopa Medical Center Phoenix Arizona 85008 US
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
Feb 12, 2019
Other
Under the direction of the Health Information Management (HIM) Data Management and Integrity Supervisor, the HIM Data Management Specialist I is responsible for ensuring the confidentiality, integrity, accuracy, daily maintenance, release of information and storage of all data both electronic and hard copy formats consistent with the administrative, ethical, legal, and regulatory requirements of Maricopa Integrated Health System (MIHS). Processes documentation into the Electronic Health Record ( EHR) and Electronic Data Management (EDM) system in an accurate and timely manner and may act as a change agent responsible for assisting with the planning and coordination of all departments, enterprise wide and system quality improvement and cost saving initiatives. Responsible for demonstrating knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality and using discretion when handling patient and various hospital departments' information.
Qualifications:
Requires a High School Diploma or equivalent. Prefer p rior experience working in a Health Information Management related position using an Electronic Health Record or Document Management System that demonstrates an understanding of the required knowledge, skills and abilities. Requires the ability to work well independently in a fast paced environment. Must demonstrate ability to learn within a short period of time. Must demonstrate ability to become proficient in HIM database systems, Electronic Health Record (EHR) and Electronic Document Management systems. Must be able to maintain the highest level of confidentiality. Must be proficient in Microsoft Office software (e.g. Word, Excel, and Outlook). Must have the ability to categorize data both in an electronic and hard copy format. Must be able to work with others to understand the scope of data management capabilities within the EHR. Requires the a bility to work independently and as part of a team. Requires excellent organizational and team building skills. Must be quality conscious and customer oriented. Strong attention to detail is required. Must be able to influence and adjust positively to change and follow through on all assignments. Must be self-motivated and able to plan work activities and set effective priorities that are aligned with departmental and MIHS operational and fiscal goals. Must be able to follow all Federal and State regulations, as well as all MIHS policies and procedures. Must possess good interpersonal communication and strong customer service skills both verbally and in writing. Including knowledge of basic grammar, spelling and punctuation. Requires knowledge in the use of a computer, fax machine, copier and scanner. Requires the ability to read, write and speak effectively in English.
El Camino Hospital
El Camino Hospital-Mountain View Campus Mountain View California 94040 US
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Feb 06, 2019
Other
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
El Camino Hospital
El Camino Hospital-Mountain View Campus Mountain View California 94040 US
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Feb 06, 2019
Other
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
El Camino Hospital
El Camino Hospital-Mountain View Campus Mountain View California 94040 US
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Feb 06, 2019
Other
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Hospital for Special Care
2150 Corbin Ave New Britain Connecticut 06053 United States
QUALIFICATIONS
Required: Associate’s degree in Health Information Management or equivalent from two-year college. Minimum 3 years coding inpatient and clinic/physician-based records in acute hospital setting. Years of experience in coding may be considered as substitute for education. Must have completed and passed a formal ICD-10 Education program.
Required: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire.
Required: Registered Health Information Technician (RHIT) certification is a plus.
Required: Ability to read, analyze, interpret ICD-9, ICD-10, CPT, HCPCS and Modifer books.
JOB SUMMARY
Responsible for the coding and facility charge process for both outpatient coding and inpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10 diagnoses and procedure codes as appropriate and CPT modifiers according to coding guidelines and established procedures. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies. Works closely with clinical documentation improvement initiatives and patient accounts to ensure documentation accurately reflects patient acuity for services rendered.
ESSENTIAL FUNCTIONS
Ensures that coding processes can be completed timely and efficiently on both outpatient and inpatient discharged accounts. Working with HIM and other staff to identify and resolve outstanding accounts through to revenue cycle.
Uses EMR, paper record and clinical documentation tool to assign all diagnostic, procedure and facility based charging in a timely manner. Monitors record completion and assembly processes to ensure that records are available timely for coding. Codes principal diagnosis and secondary diagnosis accurately using ICD-10 classification system within 24 hours of inpatient and outpatient admission, and enters codes into hospital information management system to ensure proper admission DRG assignment for inpatients following published guidelines.
Analyzes any/all physician/clinical documentation to determine appropriate diagnosis code assignment and accurately assigns ICD diagnoses and procedure codes for all patients as appropriate on admission, concurrently throughout stay and discharge. Notifies clinical and other support staff with changes in DRG assignment, as appropriate, if different from admission DRG. Queries physicians as needed for documentation clarity.
Participates on Outpatient Revenue Cycle Committee and appropriate individuals for review and assignment of correct CPT codes. Works in collaboration with others to ensure proper use of modifier assignment to CPT codes for inpatient and outpatient procedures or services.
Performs quarterly and monthly audits using predefined criteria for inpatient accounts based on DRG, ICD, CPT Evaluation/Management coding assignments and provider documentation review.
Follows up with providers for any records which cannot be completed for lack of documentation or clarification. Distributes coding queries as appropriate.
Provides information/training to clinical staff and providers on changes in coding practices such as ICD-10, CPT and modifiers, appropriate documentation practices, and DRG assignments as needed.
Assists with updating departmental coding policies and procedures. Serves as a resource for all hospital staff with questions related to Inpatient ICD 9/10 coding, CPT modifier and DRG assignments.
Confirms patient charges from outside facilities or ambulance companies for the Fiscal Department within five days of receipt, for billing processes.
Is responsible for monitoring and correcting the “Doc-Dup” report daily/weekly/monthly and prior to bills dropping.
Maintains ICD-9-CM and ICD-10 coding books, updating manual as new subscriptions are received to guarantee codes are current for appropriate reimbursement.
May assist the Quality Department by conducting timely reviews for quality assurance for appropriate medicine departments, as well as review of special studies for Misc. dept., as delegated, and tabulates individual physician QA for the credentialing process.
Maintains knowledge of Federal, State, and JC standards of documentation regulations and guidelines to ensure understanding and quality analysis of documentation.
Feb 06, 2019
Full-time
QUALIFICATIONS
Required: Associate’s degree in Health Information Management or equivalent from two-year college. Minimum 3 years coding inpatient and clinic/physician-based records in acute hospital setting. Years of experience in coding may be considered as substitute for education. Must have completed and passed a formal ICD-10 Education program.
Required: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire.
Required: Registered Health Information Technician (RHIT) certification is a plus.
Required: Ability to read, analyze, interpret ICD-9, ICD-10, CPT, HCPCS and Modifer books.
JOB SUMMARY
Responsible for the coding and facility charge process for both outpatient coding and inpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10 diagnoses and procedure codes as appropriate and CPT modifiers according to coding guidelines and established procedures. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies. Works closely with clinical documentation improvement initiatives and patient accounts to ensure documentation accurately reflects patient acuity for services rendered.
ESSENTIAL FUNCTIONS
Ensures that coding processes can be completed timely and efficiently on both outpatient and inpatient discharged accounts. Working with HIM and other staff to identify and resolve outstanding accounts through to revenue cycle.
Uses EMR, paper record and clinical documentation tool to assign all diagnostic, procedure and facility based charging in a timely manner. Monitors record completion and assembly processes to ensure that records are available timely for coding. Codes principal diagnosis and secondary diagnosis accurately using ICD-10 classification system within 24 hours of inpatient and outpatient admission, and enters codes into hospital information management system to ensure proper admission DRG assignment for inpatients following published guidelines.
Analyzes any/all physician/clinical documentation to determine appropriate diagnosis code assignment and accurately assigns ICD diagnoses and procedure codes for all patients as appropriate on admission, concurrently throughout stay and discharge. Notifies clinical and other support staff with changes in DRG assignment, as appropriate, if different from admission DRG. Queries physicians as needed for documentation clarity.
Participates on Outpatient Revenue Cycle Committee and appropriate individuals for review and assignment of correct CPT codes. Works in collaboration with others to ensure proper use of modifier assignment to CPT codes for inpatient and outpatient procedures or services.
Performs quarterly and monthly audits using predefined criteria for inpatient accounts based on DRG, ICD, CPT Evaluation/Management coding assignments and provider documentation review.
Follows up with providers for any records which cannot be completed for lack of documentation or clarification. Distributes coding queries as appropriate.
Provides information/training to clinical staff and providers on changes in coding practices such as ICD-10, CPT and modifiers, appropriate documentation practices, and DRG assignments as needed.
Assists with updating departmental coding policies and procedures. Serves as a resource for all hospital staff with questions related to Inpatient ICD 9/10 coding, CPT modifier and DRG assignments.
Confirms patient charges from outside facilities or ambulance companies for the Fiscal Department within five days of receipt, for billing processes.
Is responsible for monitoring and correcting the “Doc-Dup” report daily/weekly/monthly and prior to bills dropping.
Maintains ICD-9-CM and ICD-10 coding books, updating manual as new subscriptions are received to guarantee codes are current for appropriate reimbursement.
May assist the Quality Department by conducting timely reviews for quality assurance for appropriate medicine departments, as well as review of special studies for Misc. dept., as delegated, and tabulates individual physician QA for the credentialing process.
Maintains knowledge of Federal, State, and JC standards of documentation regulations and guidelines to ensure understanding and quality analysis of documentation.
El Camino Hospital
El Camino Hospital-Mountain View Campus Mountain View California 94040 US
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Feb 05, 2019
Other
The HIM Specialist II is responsible for daily chart collection of patient medical records from nursing units / designated areas for chart preparation and scanning into the legal medical record per set protocols; analysis of documentation to assure the record is complete through quantitative and qualitative analysis as defined by Joint Commission and Medical Staff Bylaws and assigns relevant deficiencies to providers; performs physician suspension process and acts as physician liaison for record completion; processes paper medical records for offsite storage requests and returns medical records from/to off-site storage; releases protected health information according to HIM policies and procedures and state and federal regulations; accesses the transcription system to process and electronically submit transcribed reports to legal medical record; performs functions as the hospital birth recorder by electronically submitting birth certificate information utilizing the state electronic birth recording system in compliance with Santa Clara County procedures and regulations to include interviewing parents in order to obtain required information, abstracting clinical indicators and obtains required signatures of parents and physicians. Processes patient portal activation requests as well as reviewing and approving proxy access. Reviews next day surgery schedules and prepares POLST and/or Advance Directive documentation for each visit. Prepares productivity reports using Excel. The HIM Specialist II will be required to work occasional weekends and holidays as scheduled. May be required to work alternate shifts / alternate campuses and others duties as assigned to meet operational needs of the department.
QUALIFICATIONS: 1. High school diploma or equivalent. 2. Partial completion in an accredited health information technology program, preferred. 3. Intermediate computer skills including Microsoft Office. 4. Minimum of two years' experience performing chart analysis, birth recording and/or release of information in an acute care Health Information Management department. 5. Knowledge of basic medical terminology. 6. Demonstrated ability to handle multiple tasks and interruptions. 7. Demonstrated analytical and problem solving skills. 8. Attention to detail in order to differentiate text and numeric sequences. 9. Work in a fast pace environment, maintain a high concentration level, and work independently, as well as in a team environment. 10. Ability to accommodate a flexible schedule with occasional weekend or holiday hours at either hospital site.
Frisbie Memorial Hospital
Main Hospital Campus Rochester New Hampshire 03867 US
The Inpatient/Outpatient Coding Specialist assigns ICD-10-CM/PCS, CPT-4 and HCPCS Codes and modifiers for all patient encounter types. Essential Position Functions for this Inpatient Coder are as follows:
Reads and interprets health record documentation to ensure that it supports all diagnoses and procedures to which codes and modifiers are assigned
Assigns and sequences the correct ICD-10-CM/PCS diagnosis and procedure codes and DRG primarily for inpatients but also for all other patient types, as needed
Applies knowledge of ICD-10-CM/PCS and CPT-4/HCPCS instructional notations and conventions to assign and sequence the correct diagnostic and procedural codes
Clarifies conflicting, ambiguous or nonspecific information appearing in a health record by consulting the appropriate physician and/or by constructing queries and employing the American Health Information Management Association (AHIMA) compliant query guidelines
Abstracts clinical, statistical and billing data for patient records using Meditech or Med Series MIRA Data Acquisition function
Must meet acceptable inpatient code, DRG and modifier assignment accuracy of 97% or greater and productivity of 2-2.5 inpatient charts per hour or greater
Qualifications include:
Graduation from high school
Completion of an AHIMA and/or AAPC-approved coding certificate program for ICD-9-CM and/or ICD-10-CM/PCS preferred
Formal course work, including all body systems and coding conventions in ICD-10-CM/PCS is required
Evidence of completion of a college level anatomy and physiology course preferred, or equivalent ICD-10-CM/PCS formal coursework specifically in anatomy and physiology may be considered
Formal course work in disease process highly preferred
Credentials as a Certified Coding Specialist(CCS) Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Certified Professional Coder (CPC) credentials (excluding outpatient credentials), from the American Academy of Professional Coders with inpatient coding experience may be considered
Full time acute care, inpatient coding experience of five years or more without a credential may be considered but a credential must be earned within 12 months of employment for continued employment
Two or more years of acute care hospital full time, inpatient coding experience with demonstrated competency in utilizing encoding and grouping software technology required
Feb 05, 2019
Other
The Inpatient/Outpatient Coding Specialist assigns ICD-10-CM/PCS, CPT-4 and HCPCS Codes and modifiers for all patient encounter types. Essential Position Functions for this Inpatient Coder are as follows:
Reads and interprets health record documentation to ensure that it supports all diagnoses and procedures to which codes and modifiers are assigned
Assigns and sequences the correct ICD-10-CM/PCS diagnosis and procedure codes and DRG primarily for inpatients but also for all other patient types, as needed
Applies knowledge of ICD-10-CM/PCS and CPT-4/HCPCS instructional notations and conventions to assign and sequence the correct diagnostic and procedural codes
Clarifies conflicting, ambiguous or nonspecific information appearing in a health record by consulting the appropriate physician and/or by constructing queries and employing the American Health Information Management Association (AHIMA) compliant query guidelines
Abstracts clinical, statistical and billing data for patient records using Meditech or Med Series MIRA Data Acquisition function
Must meet acceptable inpatient code, DRG and modifier assignment accuracy of 97% or greater and productivity of 2-2.5 inpatient charts per hour or greater
Qualifications include:
Graduation from high school
Completion of an AHIMA and/or AAPC-approved coding certificate program for ICD-9-CM and/or ICD-10-CM/PCS preferred
Formal course work, including all body systems and coding conventions in ICD-10-CM/PCS is required
Evidence of completion of a college level anatomy and physiology course preferred, or equivalent ICD-10-CM/PCS formal coursework specifically in anatomy and physiology may be considered
Formal course work in disease process highly preferred
Credentials as a Certified Coding Specialist(CCS) Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required
Certified Professional Coder (CPC) credentials (excluding outpatient credentials), from the American Academy of Professional Coders with inpatient coding experience may be considered
Full time acute care, inpatient coding experience of five years or more without a credential may be considered but a credential must be earned within 12 months of employment for continued employment
Two or more years of acute care hospital full time, inpatient coding experience with demonstrated competency in utilizing encoding and grouping software technology required
Parkview Health
1050 Production Road Fort Wayne Indiana 46808 United States
Summary
Responsible for serving as coding liaison to the organization and providing a variety of analytical and educational functions to the Coding Department, providers and clinical operations. These functions would include, however, not limited to new provider onboarding, new coder onboarding, just in time education of providers and coders, audits, review of denials and assessment/revision of educational materials. Assists with establishing compliant documentation practices and guidelines. Creates presentation materials for delivery to a variety of audiences. Assists with technological support systems to include education around new process and functionality as well as maintenance of those systems.
Education
Must have an Associate's degree in Health Information Technology; or Bachelor's degree in Health Information Management or other health care related degree.
Licensure and Certifications
AHIMA credentialed RHIT, RHIA or CCS or AAPC credentialed CPC preferred. Credentialing of CCS, CDIP, CCDS, CPC required within one year of hire.
Experience
5 years progressive coding/clinical documentation experience or 5 years experience in compliance, auditing or consulting.
Other Qualifications
Must have good verbal, written and computer communication skills. Must demonstrate the ability to be detail-oriented and perform tasks at a high rate of accuracy. Must be able to work independently. Must be able to research different resources to create formalized education plans for coders/clinical documentation specialists. Must be able to correspond/communicate effectively with different audiences within the health system. Must have the ability to organize work and manage time effectively. May work from home unless on-site attendance is necessary.
Feb 05, 2019
Full-time
Summary
Responsible for serving as coding liaison to the organization and providing a variety of analytical and educational functions to the Coding Department, providers and clinical operations. These functions would include, however, not limited to new provider onboarding, new coder onboarding, just in time education of providers and coders, audits, review of denials and assessment/revision of educational materials. Assists with establishing compliant documentation practices and guidelines. Creates presentation materials for delivery to a variety of audiences. Assists with technological support systems to include education around new process and functionality as well as maintenance of those systems.
Education
Must have an Associate's degree in Health Information Technology; or Bachelor's degree in Health Information Management or other health care related degree.
Licensure and Certifications
AHIMA credentialed RHIT, RHIA or CCS or AAPC credentialed CPC preferred. Credentialing of CCS, CDIP, CCDS, CPC required within one year of hire.
Experience
5 years progressive coding/clinical documentation experience or 5 years experience in compliance, auditing or consulting.
Other Qualifications
Must have good verbal, written and computer communication skills. Must demonstrate the ability to be detail-oriented and perform tasks at a high rate of accuracy. Must be able to work independently. Must be able to research different resources to create formalized education plans for coders/clinical documentation specialists. Must be able to correspond/communicate effectively with different audiences within the health system. Must have the ability to organize work and manage time effectively. May work from home unless on-site attendance is necessary.
Parkview Health
1050 Production Road Fort Wayne Indiana 46808 United States
Summary
Responsible for serving as coding liaison to the organization and providing a variety of analytical and educational functions to the Coding Department, providers and clinical operations. These functions would include, however, not limited to new provider onboarding, new coder onboarding, just in time education of providers and coders, audits, review of denials and assessment/revision of educational materials. Assists with establishing compliant documentation practices and guidelines. Creates presentation materials for delivery to a variety of audiences. Assists with technological support systems to include education around new process and functionality as well as maintenance of those systems.
Education
Must have an Associate's degree in Health Information Technology; or Bachelor's degree in Health Information Management or other health care related degree.
Licensure and Certifications
AHIMA credentialed RHIT, RHIA or CCS or AAPC credentialed CPC preferred. Credentialing of CCS, CDIP, CCDS, CPC required within one year of hire.
Experience
5 years progressive coding/clinical documentation experience or 5 years experience in compliance, auditing or consulting.
Other Qualifications
Must have good verbal, written and computer communication skills. Must demonstrate the ability to be detail-oriented and perform tasks at a high rate of accuracy. Must be able to work independently. Must be able to research different resources to create formalized education plans for coders/clinical documentation specialists. Must be able to correspond/communicate effectively with different audiences within the health system. Must have the ability to organize work and manage time effectively. May work from home unless on-site attendance is necessary.
Feb 05, 2019
Full-time
Summary
Responsible for serving as coding liaison to the organization and providing a variety of analytical and educational functions to the Coding Department, providers and clinical operations. These functions would include, however, not limited to new provider onboarding, new coder onboarding, just in time education of providers and coders, audits, review of denials and assessment/revision of educational materials. Assists with establishing compliant documentation practices and guidelines. Creates presentation materials for delivery to a variety of audiences. Assists with technological support systems to include education around new process and functionality as well as maintenance of those systems.
Education
Must have an Associate's degree in Health Information Technology; or Bachelor's degree in Health Information Management or other health care related degree.
Licensure and Certifications
AHIMA credentialed RHIT, RHIA or CCS or AAPC credentialed CPC preferred. Credentialing of CCS, CDIP, CCDS, CPC required within one year of hire.
Experience
5 years progressive coding/clinical documentation experience or 5 years experience in compliance, auditing or consulting.
Other Qualifications
Must have good verbal, written and computer communication skills. Must demonstrate the ability to be detail-oriented and perform tasks at a high rate of accuracy. Must be able to work independently. Must be able to research different resources to create formalized education plans for coders/clinical documentation specialists. Must be able to correspond/communicate effectively with different audiences within the health system. Must have the ability to organize work and manage time effectively. May work from home unless on-site attendance is necessary.
Richmond University Medical Center
Richmond University Medical Center US
The Documentation Specialist will be responsible for ensuring that clinical documentation in the medical record is pertinent, timely, accurate and complete. She/he will concurrently interact with Physicians, nursing staff, members of the interdisciplinary team and HIM coders to ensure that documentation captures clinical severity to support the level of service, core measures and appropriate reimbursement. She/he will educate all members of the patient care team on an ongoing basis.
Requirements:
- A Bachelor of Science degree in Nursing or International Medical Graduate.
- Must possess Minimum 5 years of acute care hospital experience
- AHIMA CCA or CCS certification preferred
- ACDIS CCDS or AHIMA CDIP certification preferred
- Minimum 2 years of Inpatient Coding experience with ICD-10 CM/PCS.
- CDI experience preferred
- Computer skills, Microsoft Access, Excel, and Word preferred.
-Strong interpersonal skills, ability to interact with others, verbally and in writing.
-Ability to maintenance stats and outcome data.
Jan 25, 2019
Other
The Documentation Specialist will be responsible for ensuring that clinical documentation in the medical record is pertinent, timely, accurate and complete. She/he will concurrently interact with Physicians, nursing staff, members of the interdisciplinary team and HIM coders to ensure that documentation captures clinical severity to support the level of service, core measures and appropriate reimbursement. She/he will educate all members of the patient care team on an ongoing basis.
Requirements:
- A Bachelor of Science degree in Nursing or International Medical Graduate.
- Must possess Minimum 5 years of acute care hospital experience
- AHIMA CCA or CCS certification preferred
- ACDIS CCDS or AHIMA CDIP certification preferred
- Minimum 2 years of Inpatient Coding experience with ICD-10 CM/PCS.
- CDI experience preferred
- Computer skills, Microsoft Access, Excel, and Word preferred.
-Strong interpersonal skills, ability to interact with others, verbally and in writing.
-Ability to maintenance stats and outcome data.