Hospital Coding Spec II - Edits

wvumedicine; United States; Remote; USD 50,000 - 75,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a Hospital Coder to accurately assign ICD-10, CPT, and modifiers for outpatient encounters, including ED, observations, and same-day care. You will review documentation, ensure timely coding, and collaborate with physicians to obtain necessary information.

The role requires two years of hospital coding experience, relevant certification (AHIMA/AAPC), and knowledge of anatomy, physiology and medical terminology.

Qualifications

• Education and/or certification requirements for medical coding roles include AHIMA or AAPC credentials and a high school diploma.
• Two years hospital coding experience required.
• Graduate of HIT or equivalent program or Medical Coding Certification preferred.

Responsibilities

• Reviews and interprets medical record documentation to identify diagnosis and procedures and assigns ICD-10, CPT, or modifiers.
• Assigns hospital codes to patient classes such as ED, OBS, SDC.
• Ensures quality, timely coding, charging, and abstraction of accounts for assigned areas.
• Maintains coding knowledge through in-services, seminars, and updates to coding manuals.
• Ensures accuracy and timely data for clean billing.
• Contacts physicians or others to obtain information needed to code accurately and facilitates billing.

Skills

Attention to detail

Independent decision making

Prioritization

Work under pressure

Adaptability

Organization

Communication (written and verbal)

Medical terminology knowledge

Education

High School Diploma or Equivalent

AHIMA Certification

AAPC Certification

HIT program or Medical Coding Certification Program

Job description

To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital 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. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc.

MINIMUM QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• 1. High School Diploma or Equivalent.
• 2. Current HIM or Coding Certification through ONE of the following:
• American Health Information Management Association (AHIMA)
• American Academy of Professional Coders (AAPC)

EXPERIENCE:

1. Two (2) years of hospital coding experience.

PREFERREDQUALIFICATIONS:

1. Graduate of Health Information Technology (HIT) or equivalent programORMedical Coding Certification Program.

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.

1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes.

2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.).

3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.

4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.

5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.

6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for long periods of time.

2. Must have visual and hearing acuity within the normal range.

3. Must have manual dexterity needed to operate computer and office equipment.

WORKING ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.

3. May require travel.

SKILLS AND ABILITIES:

1. Must be able to concentrate and maintain accuracy during constant interruptions.

2. Must possess independent decision-making ability.

3. Must possess the ability to prioritize job duties.

4. Must be able to handle high stress situations.

5. Must be able to adapt to changes in the workplace.

6. Must be able to organize and complete assigned tasks.

7. Must possess excellent written and verbal communication skills.

8. Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

548 SYSTEM HIM Coding Analysis