Hospital Based Outpatient Coder II, FT, Opportunity for Remote Environment, Health Information Mgmt: Health Information Management

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Hospital Based Outpatient Coder II, FT, Opportunity for Remote Environment, Health Information Mgmt: Health Information Management

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Current Employees Apply

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About This Job

Summary:
Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing and compliance.

Detailed responsibilities:
• Reviews encounters to assign and sequence appropriate diagnoses and procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
• Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches electronic medical record for any additional diagnoses documented to meet medical necessity.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
• Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures.
• Conducts, audits and/or coding reviews with various health care professionals to ensure all documentation is accurate for physician billing.
• For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing.
• Communicates with insurance companies about coding errors and disputes for physician billing.
• Reviews and validates accuracy of data in Admission-Discharge-Transfer (ADT) fields following HIM coding policies and procedures.
• Adjusts and adapts to continual changes in the coding field. Practices ethical coding per AHIMA Standards of Ethical Coding.
• Meets and maintains HIM coding quality and productivity standards. Submits daily productivity report to HIM manager by defined deadline.
• Attends internal and external educational meetings and seminars to maintain certification and continuing education requirements.
• Enhances and maintains coding knowledge and skills for physician billing.
• Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements.
• Performs all other duties as requested.

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Experience & Requirements

Competencies and skills:
Essential:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.

Education:
Essential:
• High School Diploma or Equivalent

Credentials:
Essential:
• Coding Certification

Education equivalent experience:
Essential:
• For HIM, completion of coding training program.

Other information:
Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work independently with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills including Microsoft Office applications, computerized encoder and electronic medical record systems. Ability to perform job duties using an electronic medical record system. Requires a strong proficiency and understanding of Medical Terminology, Anatomy & Physiology, Pathophysiology and Pharmacology. Knowledge of coding classification systems and procedures. Possesses a strong foundation in coding and clinical knowledge with ability to review, research and code diagnoses and procedures with a high level of complexity.

Required Work Experience: For HIM coder, two (2) years hospital based outpatient coding experience. For Physician Billing coder two (2) years of higher complexities of diagnostic/procedural/office coding experience.

For HIM, Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). For Physician Billing, Certified Professional Coder (CPC) by AAPC.

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Working Conditions

Working conditions:
Essential:
• Bending and Stooping    40.00%
• Keyboard Entry    60.00%
• Kneeling    40.00%
• Lifting or Carrying 0 – 25 lbs Non-Patient    40.00%
• Pushing or Pulling 0 – 25 lbs Non-Patient    40.00%
• Reaching    40.00%
• Repetitive Movement Hand/Arm    60.00%
• Sitting    60.00%
• Squatting    40.00%
• Standing    60.00%
• Walking    60.00%
• Audible Speech    80.00%
• Hearing Acuity    80.00%
• Depth Perception    60.00%
• Distinguish Color    60.00%
• Seeing – Far    60.00%
• Seeing – Near    60.00%
• Computer Monitor    80.00%

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About Memorial Support Services

Organizational Profile:
Memorial Healthcare System, consisting of 6 acute care hospitals, a nursing home, outpatient facilities, home health services and physician practices, provides quality, comprehensive care to the residents of the surrounding communities. We invite you to join one of the nation’s leading healthcare systems, recognized for use of advanced technology and clinical informatics.

Memorial Support Services provides a variety of business services to support our facilities. The main offices are located in Miramar with satellite offices located throughout our system.

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Disclaimer

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net

Job Details

Job Category:
Information Tech

Facility:
Memorial Support Services

Department:
Memorial Support Services

Job ID:
14005

Location:
Miramar, FL

Work Shift:
FT DAYS

Shift Hours:
7am to 3:30pm

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A Message from our President

April 20, 2022/in Featured /by rumpamala

Compensation and Benefits Updates: Memorial Healthcare System is known for a rewarding culture where people are appreciated and valued. Our new compensation and benefits programs for 2022 reflect the good work we are all doing to care for our community