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

  • Departmental participation

EDUCATION:

  • High School diploma or equivalent.

CERTIFICATION:

  • 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.

    JOB KNOWLEDGE

  • Knowledge of disease processes, anatomy and physiology, medical terminology, pharmacology.

  • Familiar with encoding and abstracting systems.

  • Keyboarding skills

  • 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.