Post Acute Medical

Post Acute Medical.

  • Enola, PA


  • Irreversible.

  • Full-time.

Description:

Coding Duties

Long Term Acute Care Hospitals (LTACH) Admission Coding– codes all inpatient records within 48 hours of admission (unless record is not readily available or vital pieces of paperwork are not offered) following ICD-10- CM coding standards with 90% precision.

  • Concurrent Coding– examines doctor documents and includes extra ICD-10 codes as needed for all inpatient records weekly (unless documents is not offered or important pieces of documents are not readily available) following ICD-10- CM coding standards with 90% precision.
  • Discharge Coding – codes all inpatient records within 5 days of discharge (unless record is not offered or crucial pieces of documents are not readily available) following ICD-10- CM standards with 90% precision.

Ancillary and Wound Care Services If relevant, codes all outpatient records by the 3rd day after discharge according to ICD-10- CM and CPT standards with 90% precision, to consist of Ancillary and Wound Care services.

All Record Types Query Medical personnel and midlevel companies when code tasks are not uncomplicated or documents in the medical record is contrasting, unclear, insufficient, insufficient or uncertain for coding functions. Keep medical suppliers notified of important paperwork modifications that show precise code project.

  • Continuously examines the quality of scientific paperwork to identify insufficient or irregular paperwork for inpatient encounters that affect the code choice and resulting DRG groups and payment. Brings recognized issues to HIM Director( s) and Case Manager( s).
  • Performs required investigations/actions to guarantee the account will drop into the billing system with no issues. Informs Director of any uncommon situations that might postpone coding/billing procedure.
  • Utilizes 3M coding software/encoder application together with HMS MedHost to help in precise coding and tidy claims processing. Ensures all codes appointed are supported by doctor paperwork within the medical record.
  • Monitors the billing mistake report to make sure all accounts are dropped prompt and precisely. Interacts all possible billing hold-ups or uncommon findings with the HIM Director.
  • Abides by the Standards of Ethical Coding as stated by the American Health Information Management Association.
  • Abstracts designated fields for doctor info to ensure doctor index reports show real activity. Informs Director of any brand-new doctor activity.
  • Abstracts other group or unique research study info according to treatment.
  • Works carefully with the HIM Director/Business Office concerning billing discrepancies/denied claims relating to medical diagnosis and treatment codes.
  • Attends in-services and instructional workshops. Remains notified and present with coding patterns, coding guidelines and standards.
  • Cross-trains to help with LTACH, Ancillary, Wound Care coding in addition to any extra coding required.
  • Provides training to brand-new workers.
  • Performs unique jobs as required per the HIM Director.
  • Covers other HIM-related jobs as designated by HIM Director or Administrator.

POSITION QUALIFICATIONS:

Education and Training: High school diploma or its equivalent is needed.

  • Coding, medical terms, Anatomy/Physiology courses chosen.
  • Certification as one of the following is chosen;-LRB-
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist-Physician based (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Professional Coder Apprentice (CPC-A)
  • Certified Billing and Coding Specialist (CBCS)
  • Certified Coding Associate needed (CCA)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Registered Nurse (REGISTERED NURSE) with ICD-9-CM coding background
  • Licensed Practical Nurse (LPN) with ICD-10- CM coding background
  • Experience as a Coder and presently pursuing any of the above noted qualifications will be thought about.

Experience:

Minimum of 2 (2) years experience as a coder is chosen. Knowledge of ICD-10- CM/ CPT coding ability, illness procedures, medical terms, anatomy and physiology, pharmacology and lab terms in order to code properly.

  • Ability to remain abreast of coding changes/ICD-10- CM Official Conventions in addition to Official ICD-10- CM/ CPT Guidelines for Coding and Reporting.
  • Ability to designate ICD-10- CM diagnosis/procedure codes according to the International Classification of Diseases making use of the 3M coding application.
  • Must have precise information entry abilities and computer system abilities. Capability to go into information into the computer system for billing and analytical functions needed.
  • Must have capability to interact with clients, households, personnel, management, doctors and public.
  • Must have the ability to follow instructions precisely and prompt, produce quality and amount work of repeated jobs and have choice for organized, detail-oriented tasks.
  • Must have understanding of HIPAA policies.
  • Must work out effort and succinct decision-making, arrange work individually, and want to deal with doctors and other health center personnel, and promote a favorable mindset.
  • Familiarity with TJC and State guidelines together with legal elements of the medical record.

Knowledge, Skills, and Abilities:

  • Knowledge of ICD-10- CM coding ability, illness procedures, medical terms, anatomy and physiology, pharmacology and lab terms in order to code precisely.
  • Ability to remain upgraded on coding modifications.
  • Must have exceptional interaction, company and mathematical filing abilities.
  • Must have great typing and or computer system information entry abilities.
  • Must have capability to preserve privacy, workout effort and succinct decision-making, arrange work individually, want to deal with doctors and other medical facility personnel, and promote a favorable mindset.
  • Should have the ability to follow instructions properly and prompt, produce quality work of recurring jobs and have choice for organized, detail-oriented tasks.
  • Must be computer system literate and able to utilize copy and facsimile machine.

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Post Acute Medical.

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