Summary:
Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.
Detailed responsibilities:
• Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.
• Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.
• Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials.
• Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding.
• Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards. Submit daily productivity report to manager by defined deadline.
• Attends educational meetings and seminars to maintain certification and continuing education requirements.
• Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.
• Performs all other duties as requested.
Education:
• High School Diploma or Equivalent
Credentials:
• Coding Certification
Education equivalent experience:
• Focused education of hospital based coding.
Required Work Experience:
•Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
...Job Description Flex Year Round At Mammoth Mountain, you will live the dream! Work and play in the majestic mountains with a free season pass that opens the doors to adventure at all Alterra Resorts. Your whole family can share this excitement with free skiing...
..., Information Technology, Engineering, Engineering Management, Management Information Systems, or related STEM degree program. Citrix XenApp expertise or certification Experience in Scripting/automation via PowerShell, VBscript, AutoIT or similar. SAN storage...
Amazon Flex is hiring now in Davenport, IA. With Amazon Flex, you can earn money for delivering parcels with your own car, on your own schedule, any time you like just select available hourly blocks, decide if the shift length and payment suit you, and if so, hit the...
...clients you see through Headway, so that you can set the hours that work for you. Grow your caseload by providing marketing support and... ...patients in-person or remotely via telehealth while working from home. We accept the following licenses on a state by state basis:...
If you're a professional who works with text, we have an exciting opportunity to use your writing, editing, technical, and creative skills in a new and innovative way. As an AI Tutor - Writer , you wont just be writing; you'll be helping to shape the future of AI.We...