Hospital Coding Spec II - Observation

WVU Medicine; New Martinsville (WV); On-site; USD 55,000 - 75,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a skilled Medical Coder to join our HIM Coding team. This role involves accurate documentation review, ICD-10 and CPT coding, and ensuring compliant billing for ED, observation, and other hospital services.

Ideal candidates will have a High School Diploma or equivalent, AHIMA or AAPC certification, and at least two years of hospital coding experience.

Qualifications

• High School Diploma or equivalent.
• Current HIM or Coding Certification (AHIMA or AAPC).
• Two years of hospital coding experience.
• Graduate of HIT or equivalent program or Medical Coding Certification.

Responsibilities

• Reviews and interprets medical record documentation to assign ICD-10, CPT, or modifiers for diagnoses and procedures; codes moderately complex patient classes.
• Assigns hospital codes to ED, OBS, SDC, etc.
• Ensures quality, timely coding, charging and abstraction of accounts daily.
• Maintains coding knowledge through in-services, seminars, and updates to coding manuals.
• Ensures accuracy, quality, and timely data for a clean bill.
• Contacts physicians or staff to obtain information needed for accurate coding; coordinates with billing offices.

Skills

Independent decision-making

Attention to detail

Communication skills

Ability to work under pressure

Adaptability

Organizational skills

Anatomy, physiology, and medical terms

Education

High School Diploma or equivalent

AHIMA or AAPC coding certification

HIT program or medical coding certification

Job description

Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position.

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:

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

Experience

• Two (2) years of hospital coding experience.

Preferred Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• Graduate of Health Information Technology (HIT) or equivalent program OR Medical 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.

• 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.
• Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.).
• Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
• 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.
• Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
• 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.

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• 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.

• Standard office environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.

Skills And Abilities

• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to handle high stress situations.
• Must be able to adapt to changes in the workplace.
• Must be able to organize and complete assigned tasks.
• Must possess excellent written and verbal communication skills.
• Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description

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