Coding Specialist III

Coding Specialist III

GENERAL SUMMARY :

Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD-10-Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of all other types of coding, including, but not limited to, Outpatient, Outpatient Surgery, and Observation, however the focus of work is complex Inpatient coding.

PRINCIPAL JOB FUNCTIONS :

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• Commits to the mission, vision, beliefs and consistently demonstrates our core values.

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3. Reviews discharge disposition code for accuracy.

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7. Assists in identifying solutions to reduce and resolve back-end coding edits.

8. Queries physicians appropriately as needed when the documentation is not clear and follows up on queries.

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10. Assists with coding quality review activities for accuracy and compliance.

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13. Adheres to relevant policies, procedures, regulations and expectations of Bryan Medical Center.

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15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

16. Participates in meetings, committees and department projects as assigned.

17. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES :

1. Knowledge of anatomy, physiology, pharmaceuticals, medical terminology, disease process and ICD-10-CM and ICD-10-PCS Coding.

2. Knowledge of computer hardware equipment and software applications relevant to work functions.

3. Ability to communicate effectively both verbally and in writing.

4. Ability to meet high standards for work accuracy and productivity.

5. Ability to mentor and train other personnel in coding practices and proper documentation techniques.

6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff.

7. Ability to problem solve and engage independent critical thinking skills.

8. Ability to maintain confidentiality relevant to sensitive information.

9. Ability to prioritize work demands and work with minimal supervision.

10. Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE :

Associate Degree or higher required. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Minimum of two (2) years of inpatient coding experience in a medical environment required.

PHYSICAL REQUIREMENTS :

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)

(DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and / or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

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