Certified Coding Specialist

Job Description

Job Description

Description :

The Health Information Management Certified Coding Specialist performs coding and abstracting for inpatient and outpatient medical records accurately and timely to optimize reimbursement for all payer classes. Responsible for scanning medical records and filling in for the HIM Technician during their absence. Normally scheduled Monday through Friday.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
• Analyses patients’ records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines.
• Abstract any data required for the patients’ record.
• Ensures timely data entry of codes.
• Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis.
• Confers with physicians regarding diagnoses and procedures to ensure accuracy.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Ensures that documentation is appropriate to meet medical necessity guidelines.
• Ensures productivity and quality of coding the records.
• Uses reference materials (coding books and 3M encoder) appropriately and efficiently.
• Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately.
• Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements.
• Maintain orderly condition of assigned work area.
• Maintain confidentiality of all patients, hospital, and physical related information
• Communicate with other clinical team members regarding documentation.
• Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements.
• Other duties may be assigned and are subject to change with or without prior notice.

OTHER RESPONSIBILITIES

(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)

SUPERVISORY RESPONSIBILITIES

None

Requirements :

EDUCATION AND / OR EXPERIENCE

CERTIFICATES, LICENSES, REGISTRATIONS

PHYSICAL DEMANDS

WORK ENVIRONMENT

CORPORATE COMPLIANCE

Receives training and / or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and / or abuse.

BENEFITS

Please use the link below to visit our website for a list of benefits offered.

https : / / www.hillsborohealth.org / careers