We are recruiting a Community Care Coding Specialist to join our ScionHealth Team.Â
This a remote position.
Analyze and translate healthcare diagnosis, procedures and medical services taken from physician documentation, such as History & Physical, Consults, Progress notes and Operative notes, into alphanumeric codes that are captured in an encoder in order to populate a DRG (Diagnostic Related Groupings). These will be used to create bills for submission to Medicare or health insurance companies in order to receive hospital payment for services provided.
Essential Functions: (Those functions that the individual who holds the position must be able to perform unaided or with the assistance of reasonable accommodation).
Provide consistent, accurate, and timely coding of medical records for appropriate billing and/or data collection. To provide guidelines for adherence to the Corporate Compliance Initiatives regarding the requirements applicable to Medicareâ€™s Prospective Payment System for long-term acute care, ARUâ€™s and Behavioral Health facilities.
Code all admissions within 1 business day of registration based on the presence of the history and physical.
Code operative procedures within 2 business days of receipt of documentation.
Code information provided by the facility from paper patient records within two business days of notification.
Attend weekly CCDI/Coder calls with HIM and CM in attendance at each facility to discuss possible DRG progressions and documentation opportunities.
Code discharge patient records within four business days and prioritize high cost accounts.
Correspond with CCDI regarding coding and documentation issues utilizing coding/CDI software.
Knowledge of the principles of coding guidelines and conventions.
Expertise and credentials in medical coding.
Ability to organize and prioritize work in order to meet job demands.
Ability to communicate effectively and present information in an organized manner on a routine basis.
Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
Ability to maintain a good working relationship with peers, superiors and subordinates while working under stressful situations.
Ability to manage several projects/tasks simultaneously.
Technical understanding of coding operating systems (hardware and software).
Communicates effectively and exhibits courteous behavior when dealing with coding department employees, as well as hospital employees served.
Must read, write and speak fluent English.
Must have good and regular attendance.
Approximate percent of time required to travel: 0%Â
Performs other related duties as assigned.
High School or equivalency diploma or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits.Â Â Â Â Â Â Â Â Â Â Â Â
Must have one of the following: CCS, CCA, CPC, RHIT, RHIA, RN, CPC, COC
5 years experience as a medical records coder in a health care facility;Â
Depending on Candidateâ€™s qualifications, we may fill this at a different level.