Hospital Coding Specialist

Hospital Coding Specialist 

8 years’ experience

CCS

Job Description

SUMMARY Assigns diagnostic and procedures codes and abstracts data to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines.     

DUTIES AND RESPONSIBILITIES 1. Reviews electronic medical record documentation to obtain or verify diagnoses and procedures. 2 Assigns accurate ICD-9 and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. 3. Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record. 4. Reviews electronic medical record documentation and abstracts statistical data into HIS abstracting system based upon hospital policy and regulatory body guidelines. 5. Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements. 6. Assists with training of new coder, when needed. 7. Assists Case Management and Patient Access Departments in providing appropriate CPT codes for preadmission and pre-certification requirements. 8. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate DRG assignment, diagnoses and procedures sequencing, and coding and documentation training. 9. Aggregates data from reviews and compiles reports for HIM Mgmt 10. Communicates as necessary with physicians to obtain or clarify diagnoses and/or procedures via the internal physician query process and making sure the physician documents within the medical record. 11. Maintains data integrity of coded and abstracted records within 95% accuracy. 12. Verifies accuracy of transcribed reports/indexed documents and assigns errors to the appropriate queue in the electronic medical record application. 13. Meets minimum coding productivity standards within 3 months of employment or maintains minimum coding productivity standards during employment while ensuring accuracy of coding. 14. Performs other job related duties as assigned. 15. Demonstrates components of ICARE value statement. 16. Demonstrates components of servicepride standards. 17. Follow all safety rules while on the job.        

EXPERIENCE REQUIREMENTS Certified Coding Specialist (CCS) required with 8plus years coding experience in an acute-care setting with minimum 2plus years coding experience in a 200plus bed, acute-care facility. Certified Coding Specialist (CCS) plus a Registered Health Information Technology (RHIT) or Registered Health Information Administrator (RHIA) required with 6plus years coding experience in an acute-care setting with minimum 2plus years coding experience in a 200plus bed, acute-care facility.      

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED Certified Coding Specialist (CCS)      

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED 1. Knowledge of all of the components of an electronic medical record. 2. Knowledge of ICD-9 codes, CPT codes, drgs, and apcs. 3. Working knowledge of medical terminology, anatomy and physiology. 4. Must be able to type 40 words per minute with extensive PC knowledge. 5. Proficiency with electronic encoder application.

SKILLS AND CERTIFICATIONS

CCS 

SCREENING QUESTIONS

Do you have hospital billing experience in a facility with 200+ beds?

Do you have a CCS?

IDEAL CANDIDATE

8+ years billing experience in a large hospital facility. 

CCS certification