Responsible for reviewing demographic and clinical medical records, assigning appropriate ICD-10-CM/PCS and CPT/HCPCS codes based on provider documentation and current coding guidelines.
Responsibilities
Analyze electronic medical record to identify all episodes of care
Extracts demographic and clinical documentation and applies accurate codes
Processes work to meet or exceed departmental productivity and quality targets
Demonstrates competency by completing yearly competency testing
Uses encoder (3M) with Coders Desk Reference, CPT Assistant, and AHA Coding Clinics reference tools
Requirements
High school diploma or equivalent
Associate degree in Health Information Technology or related field
Nice to have: Certified Coding Specialist (CCS)
Nice to have: Certified Coding Specialist Physician (CCS-P)
The Inpatient Coding (Facility) Specialist III will support the importance of accurate, complete and consistent coding practices for the production of quality healthcare data, coding complex types of coding cases using ICD-9/ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
Responsibilities
Code the most complex types of coding cases applying correct ICD-9/ICD-10-CM diagnosis codes
Apply ICD-10-PCS codes to inpatient procedure cases
Strive for optimal reimbursement
Help out in different coding areas as needed
Facilitate communications with medical staff, peers, management and other hospital personnel
Requirements
High School graduate
Certificate of General Educational Development (GED)
High School Equivalency Diploma (HSED)
Nice to have: Inpatient Coding (facility) in an Acute Care Hospital
The Emergency Department Coder is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.
Responsibilities
Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges
Abstracts key data elements required for billing, regulatory agencies, and other databases
Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter
Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels
Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including not to limit medical necessity and NCCI/CCI edits
Requirements
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Responsible for administration and daily operation of the Whitaker Bank Card Services Department, providing customer service, reporting, and team leadership.
Responsibilities
Monitors debit & credit card activity through reports and computer terminals
Submits daily and monthly reports to Bank management and merchant networks
Reviews and validates outpatient and professional clinical documentation and diagnostic results, assigning appropriate ICD‑10‑CM, CPT/HCPCS, and other coding for billing and reporting.
Responsibilities
Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine appropriate assignment of diagnosis and procedure codes.
Analyzes medical records, interprets documentation and assigns proper ICD‑10‑CM, CPT/HCPCS, modifiers, and E&M codes using designated software including CAC and/or encoder.
Enters charges for procedures that are not soft coded as instructed for certain patient types.
Adheres to all department coding/charging procedures, policies, guidelines and quality standards.
Completes daily cases utilizing appropriate work lists.
Clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. Competently assigns ICD-10-CM, CPT-4, HCPCS codes to complex outpatient accounts for billing, internal and external reporting, research, and regulatory compliance.
Responsibilities
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
Actively participates in creating and implementing workflow improvements.
Assigns ICD-10-CM, CPT-4, or HCPCS codes to all diagnoses, treatments, and procedures on complex hospital outpatient or clinical department visits.
Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
Research and understand simple and moderately complex coding issues.
Requirements
Completion of an accredited coding certificate program
Health Information Technician program
Nice to have: Associate of Science in Health Information
Nice to have: Bachelor of Science in Health Information
CARD SERVICES MANAGERWhitaker Bank Corp of Kentucky · Lexington, US
Outpatient Coder 2 Certified / HIM CodingThe Hospital of Central Connecticut · Farmington, US
Coder 3Fairview Health Services · St Paul, US