Certified Medical Coder - HIM Coding Documentation

at  Ascension

DETAILS

• Department: HIM Coding Documentation
• Schedule: Full time days, Monday - Friday
• Hospital: Ascension Sacred Heart Medical Group
• Location: Remote

REQUIREMENTS

Licensure / Certification / Registration:

• One or more of the following required:
• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
• Coder obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
• Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing.

• Abstract pertinent information from patient records.
• Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments.
• Perform complex coding.
• Obtain acceptable productivity/quality rates as defined per coding policy.
• Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Maintain knowledge of, complies with and keep abreast of coding guidelines and reimbursement reporting requirements.
• Conduct chart audits for physician documentation requirements & internal coding; provide associate/physician & education as appropriate.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.