Mid Coast–Parkview Health Coder in Brunswick, Maine
Responsible for determining the appropriate diagnostic and procedural codes based on available medical information. Identifies and abstracts other medical and non-medical data as requested for reporting and performance improvement. This information is used for data retrieval, analysis and reimbursement. This is accomplished in a timely manner, with a high degree of accuracy, quality and consistency.
Codes all patient records accurately and completely in accordance with all coding standards and regulations and accurately enters all codes and special criteria elements into the database within required timeframes.
Applies appropriate ICD-10-CM and CPT-4 codes including diagnosis and procedures for all types of medical records including medical, surgical, ancillary services, outpatient and obstetrical records.
Queries physicians effectively and courteously when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Meets or exceeds department productivity and quality standards.
Appropriately handles inquiries and issues from Patient Financial Services and other hospital departments and provides competent and thorough follow-up.
Plays an integral role in assisting the organization and department in achieving its goals regarding uncoded records and the dollars they represent. Monitors uncoded encounters on a regular basis. Locates and retrieves uncoded records to insure coding and abstracting is completed in a timely fashion.
Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Brings identified concerns to department manager for resolution.
Remains knowledgeable of and acts in accordance with all coding conventions as well as all external agency and government regulations affecting coding
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
Edits data reports before quarterly submission to Maine Health Data Organization making any necessary corrections to data.
Utilizes coding quality audits to improve the quality of coding
- High School diploma or equivalent.
American Health Information Management Association or the American Academy of Professional Coders: RHIA, RHIT, CCA, CCS, CPC-H, CPC-P certification required.
TRAINING AND EXPERIENCE:
At least two years coding experience working preferably in an acute care hospital health information department.
Prior Medicare coding experience, minimum one year.
Experience with ICD-10 and CPT coding classifications, minimum one year.
Extensive pc knowledge and skills, including Windows and coding software that is verifiable through testing or previous job experience.
Knowledge of disease processes, anatomy and physiology, medical terminology, pharmacology.
Familiar with encoding and abstracting systems.
Able to work in a high stress environment and multitask.
Knowledge of privacy laws.
Job ID: 2018-2718
Shift: First, flexible
Hours per Week: 40
External Company Name: Mid Coast Health Services
External Company URL: www.midcoasthealth.com
Street: 123 Medical Center Dr.