HB-PB Coding Specialist II- Emergency Department

WVU Medicine; Core (WV); On-site; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated HB-PB Coding Specialist II for their Emergency Department. This role is crucial for ensuring accurate coding and compliance with various guidelines. You will review medical records, assign appropriate codes, and interact with healthcare providers to enhance coding accuracy. This position offers a full-time opportunity in a standard office environment, where your skills in medical coding and communication will shine. Join a team that values precision and excellence in healthcare coding, contributing to improved patient outcomes and operational efficiency.

Qualifications

• 1 year of medical coding experience required.
• Associates degree in Health Information Management preferred.

Responsibilities

• Review medical records to assign appropriate diagnosis and procedure codes.
• Ensure quality and timely coding for accurate reimbursement.
• Communicate with physicians for necessary information.

Skills

Medical Coding

ICD-10 Coding

CPT Coding

Communication Skills

Decision-Making Skills

Organizational Skills

Education

High School Diploma or Equivalent

Associates Degree in Health Information Management

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Job description

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To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospitals, clinics and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment, severity of illness and risk of mortality for each medical record.

This position is an integral part of an overall compliance program effort as it pertains to hospital/physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives along with hospital coding. Responsible for analyzing and resolving issues of missing charges and problem accounts by researching information regarding department reimbursement. Responsible for the coding of the more complex patient classes i.e. inpatient, observations, same day care, etc. This position will be able to code a variety of patient classes along with this position being responsible for Split Claim processes required for Critical Access hospitals.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• High School Diploma or Equivalent.
• Associates degree in Health Information Management with RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) OR CCS (Certified Coding Specialist) or CCS-P (Certified Coding Specialist Physician Based) or CPC (Certified Professional Coder).

EXPERIENCE:

• One (1) year of medical coding experience.

PREFERRED QUALIFICATIONS:

• Two (2) years of physician office coding experience strongly preferred.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Review and accurately interpret medical record documentation from all accounts to identify all diagnosis and procedures affecting the current inpatient stay or outpatient encounter and assign appropriate ICD-10, CPT, or modifier codes.
• Perform the coding/billing Split Claims process to ensure correct coding and reimbursement.
• Ensure quality and timely coding, charging, and abstraction of accounts are completed daily.
• Maintain current coding knowledge through reviews, seminars, meetings, and study of reference materials.
• Ensure accuracy, quality, and timely review of data for a clean bill.
• Communicate with physicians and other staff to obtain necessary information for accurate coding.
• Monitor provider documentation, perform audits, and provide education to improve coding accuracy.
• Assist Revenue Cycle Operations in claim development to resolve problematic accounts.

PHYSICAL REQUIREMENTS:

• Ability to sit for long periods.
• Normal visual and hearing acuity.
• Manual dexterity for operating equipment.
• Ability to lift, push, or pull 10-20 pounds.

WORKING ENVIRONMENT:

• Standard office setting.
• Potential visual strain from screens and documents.
• May require travel.

SKILLS AND ABILITIES:

• Ability to concentrate amidst interruptions.
• Independent decision-making skills.
• Prioritization skills.
• Ability to handle stress.
• Adaptability to workplace changes.
• Organizational skills.
• Excellent communication skills.
• Knowledge of anatomy, physiology, and medical terminology.

Scheduled Weekly Hours: 40

Shift: United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 548 SYSTEM HIM Coding Analysis

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Health Care Provider
• Industries: Hospitals and Health Care