The Healthcare Coding Associate will code outpatient diagnostic medical records utilizing ICD-9-CM, ICD-10-CM and CPT coding conventions. Employee will audit medical records to ensure specificity of diagnoses and procedures, to ensure appropriate and optimal third party reimbursement. The coder will apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing. All work is performed in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD9, ICD10, CMS, AHIMA and Memorial Health System organizational/institutional coding guidelines. Under the direction of the Coding Supervisors, the Healthcare Coding Associate will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications
Education:
- High School Graduate required, Associate Degree or some post-secondary education desired.
Licensure/Certification/Registry:
- Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA),or Certified Professional Coder-Apprentice, successful completion of a coding program, or six months coding, health information, or relevant experience required.
- Accredited training in Medical Terminology and Human Anatomy and Physiology required.
Experience:
- Previous coding, health information management, physician medical office, registration or billing experience preferred.
- Minimum typing skill of 40 WPM and/or 1 year CRT experience required.
- Word processing/computer application experience and knowledge desired.
Other Knowledge/Skills/Abilities:
- Demonstrates excellent knowledge of proper use of ICD-9-CM, ICD-10-CM and CPT-4 coding guidelines and principles.
- Knowledgeable of Admission, Utilization Review, Billing and Collection process.
- Demonstrates excellent interpersonal and communication skills.
- Demonstrates ability to work independently.
Responsibilities
- Review medical records and accurately code the principal and all secondary diagnoses and procedures using ICD-9-CM, ICD-10-CM, and/or CPT coding conventions; sequence the diagnoses and procedures using coding guidelines; abstract and compile data from medical records to assign the most appropriate codes for optimal reimbursement.
- Coding of Outpatient Diagnostic Accounts- as assigned performs coding analysis on all outpatient diagnostic accounts utilizing 3M and/or other coding products. Abstracts all coded accounts in coding system per procedure. Ensure an APC assignment is accurate.
- Participates in required continuing education and compliance training programs to maintain an understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to support the effective application of ICD-9-CM, ICD-10-CM and CPT coding guidelines to outpatient diagnoses and procedures. Staff will maintain up-to-date knowledge of medical records practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Centers for Medicare and Medicaid (CMS), Federal Intermediary (FI) and other related organizations.
- Ensures compliance with all current Memorial Medical Center and department policies and procedures.
- Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
- Demonstrates ability to cooperate with Memorial Medical Center management personnel, physicians and other persons contacted during the working day.
- Enter and retrieve patient medical data from computer terminal updating entries as necessary; audit medical record for accuracy and completeness, note deficiencies and refer for appropriate follow up and completion.
- Participates in monthly coding meeting with Coding Supervisors and other meetings at determined appropriate.
- Serve as a member of designated divisional committees and other steering committees as appropriate.
- Promotes MHS Guest Relations philosophy, Statement of Values, and follows MHS Behavior Standards and Code of Conduct.
- Performs other related work as required or requested.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.
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