Job Description:
Summary:
Under the basic guidance of the Health Information Coding Manager, examines the inpatient medical record to appoint proper codes in accordance with the ICD-10- CM/PCS Official Guidelines for Coding and Reporting. Figures out suitable MS DRG/APR DRG project for optimum category and precise and certified scientific reporting. Determines and suggests doctor questions when paperwork in the chart is insufficient, uncertain or uncertain. Maintains and fulfills HIS quality and efficiency requirements.
Responsibilities:
Enters into a composed Telecommuting Agreement with department management. The worker accepts be available by telephone/e-mail within an affordable period throughout the concurred upon work schedule, and to officially keep prompt and precise work and pause records and to send such work hours weekly to department management in accordance with Lifespan’s system large composed “Telecommuting” policy.
Reads and understands the inpatient medical record determining all dealt with medical diagnoses and treatments reporting the right code( s) sticking to guidelines stated in “Official Coding Guidelines.” Carries out coding recognition on codes computer-assisted and auto-suggested codes from 3M.
Understands medical paperwork to acknowledge when an inquiry to the doctor is needed.
Working understanding of scientific paperwork such as laboratory results determining breathing failure, unrestrained diabetes etc., and capability to carry out web searches when fuller understanding is needed to even more comprehend illness procedures & medications to deal with.
Codes uncomplicated inpatient medical records such as seen in neighborhood medical facilities leaving out Level 1 injury cases and complicated surgical cases.
Reviews web videos for complete understanding of treatments for coding precision.
Ability to browse the electronic medical record. Makes sure the medical record documents supports the codes chosen for the primary medical diagnosis, secondary medical diagnoses, issues, co-morbid conditions, treatments and discharge personality. Abides by the “Standards of Ethical Coding” as stated by the American Health Information Management Association. Gets in coded/abstracted info and/or confirms codes into the 3M DRG grouper appointing making use of computer-assisted coding tools. Appoints precise MS-DRG or APR-DRG through usage of the medical studying functions examined in compliance with medical record documents. Includes Present On Admission (POA) sign to medical diagnoses. Determines Hospital Acquired Condition and Patient Safety Indicator codes and forwards to designee. Picks the doctor carrying out treatments making sure precision in the medical facility’s billing system. Functions carefully with Clinical Documentation Specialist for extra medical evaluation Responds prompt to coding validator coding suggestions. Focuses on high paying records to be finished the day got. Carries out concurrent coding for internal clients needing interim billing. Constantly satisfies coding performance, quality and precision requirements.
May be needed to code rehab records following the recognized procedure.
Consistently satisfies recognized performance requirements and precision requirements.
Follows-up on all expense holds to guarantee prompt billing and compensation. Function as a resource to doctors and other personnel on coding principals and DRG projects and/or outpatient coding concerns.
Refers coding, billing and system concerns to the coding supervisor or coding validator. Seeks supervisory help just after tiring own resources by referencing proper coding publications and handbooks. Assists other coders with aid answering concerns and supplying assistance to entry-level coders.
Keeps abreast of coding standards and compensation reporting requirements. Maintains credential.
Maintains health details privacy by sticking to recognized organizational and department policies and treatments.
Performs associated clerical and other tasks as appointed.
Other info:
BASIC KNOWLEDGE:
Associate degree needed; health infotech chosen. (ideally with RHIT or RHIA) and AHIMA CCS Certified Coding Specialist credential. If associate degree is not in health infotech, effective conclusion of an inpatient coding accreditation program certified by AHIMA. or the AAPC credential CIC, Certified Inpatient coder. Great writing abilities to prepare certified doctor questions. Computer system literate; efficient in looking into web sites to clarify illness or treatments. Capability to browse the client electronic medical record to gain access to and acknowledge suitable information suitable to coding procedure.
EXPERIENCE:
Three to 5 years inpatient coding experience in a mentor or severe care medical facility needed with shown capability to comprehend the scientific material of a health record. Trained in medical terms, anatomy and physiology. Capability to acknowledge and comprehend medical documents relevant for coding. Excellent writing abilities to prepare certified doctor questions. Computer system literate; efficient in research study web sites to clarify illness or treatments. Capability to browse the client electronic medical record to gain access to and acknowledge suitable information relevant to coding procedure.
WORKING CONDITIONS:
Reads electronic medical records for the whole workday double computer system displays. Capability to sit for extended periods, raise a minimum of 25 pounds, bend, stoop, stretch, usage step-stools to submit records. Capability to work under demanding conditions to keep receivables days accomplishing performance and precision.
INDEPENDENT ACTION:
Performs individually within the department’s policies and practices. Refers particular complex issues to the manager when information of the department policies and treatments are needed.
SUPERVISORY RESPONSIBILITY:
None.
Lifespan is an Equal Opportunity/ Affirmative Action company. All certified candidates will get factor to consider for work without regard to race, color, religious beliefs, sex, nationwide origin, age, ethnic culture, sexual preference, origins, genes, gender identity or expression, special needs, safeguarded veteran or marital status. Life-span is a VEVRAA Federal Contractor.
Location: Corporate Headquarters, USA: RI: Providence
Work Type: Full Time
Shift: Shift 4
Union: Non-Union.
Life Expectancy Health System.
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