Certified Hospital Based Surgery Coder
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- Reviews provider documentation and revises and/or assigns ICD-10-CM codes
and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits.
- Coding focus is complex outpatient hospital based (Observation, Emergency
Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound). Principal Accountabilities
- Standards of Performance: Respect, Integrity, Compassion, Collaboration,
Stewardship, Accountability, Quality Education
- High School Diploma required. Preferred Associate or Bachelor Degree in
Health Information or a healthcare related discipline. Licenses and Certification
- Required:
o RHIA, RHIT, or CCS (hospital) o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) Experience and Skills
- Hospital & Provider Based:
o RHIA, RHIT, CCS - None.
- Provider Based:
o CCS-P, CCA, or CPC - 3 years procedural coding required. Physical Activities
- Intermittent hand manipulation required
- Intermittent lifting and carrying of 20 pounds
Role Specific Responsibilities o Follows all coding policies, procedures, standard operating procedures o Effectively uses encoding software and reference materials to assign appropriate codes. o Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines. o Non - provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines o Reviews coding edits and accurately resolves so encounter can be sent to claims. o Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding. o Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity o Performs work que duties as assigned by Coding Lead/Supervisor/Manager. o Maintains coding quality and productivity standards o Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required. o Maintains required CEU's Compensation (Commensurate with experience): $24.12 - $37.39 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits Apply tot his job Apply To this Job