Position Status Position Status: Shift: Variable Less than 12 hour shift (United States of America) Hours per week: 0 Job Information Exemption Status: Non-Exempt
A Brief Overview Reviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.
Education Qualifications High School Diploma / GED Required
Experience Qualifications 2 years Coding experience.
Preferred Skills and Abilities Knowledge of medical terminology. (Required proficiency)
Knowledge of coding and regulatory guidelines. (Required proficiency)
Licenses and Certifications Registered Health Information Administrator (RHIA) - AHIMA Required or Registered Health Information Technician (RHIT) - AHIMA Required or Certified Coding Specialist - CCS Required or Certified Professional Coder - AAPC CPC also accepted. Required Certified Coding Associate - AHIMA CCA also accepted. Required
What you will do Selects and assigns appropriate ICD-10-CM diagnosis, procedure and CPT codes utilizing encoding system and application following coding guidelines.
Ensures appropriate MS-DRG/APR DRG is assigned.
Utilizes Electronic Medical Record (EMR) to identify and enter key administrative and clinical data elements into discrete fields within the EHR.
Comply with all legal requirements regarding coding guidelines and policies.
Proficient with medical necessity documentation guidelines.
Complies with payer specific guidelines for appropriate code assignment.
Works coding queues as assigned by manager or designee.
Collaborates with Clinical Documentation Improvement (CDI) team for clinical expertise and query opportunities.
Submit coding queries to physicians for medical record documentation clarification.
Converse with providers or other health care professionals on coding and/or billing practices, if needed.
Works professionally, independently and completes assignments in a timely manner.
Meets coding productivity and accuracy standards.
Participates at coding and department meetings/huddles.
Participates at CDI/Coding and other educational sessions.
Attends All Employee Meetings.
Continually self-educates on current coding guidelines and regulatory changes utilizing electronic reference material.
Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned
Patient Facing Options Position is Not Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability Hybrid Scope No Supervisory Responsibility No Budget Responsibility No Budget Responsibility
Physical Demands Balancing: Occasionally 1-3 Hours
Carrying: Rarely less than 1 hour
Climbing (Stairs): Rarely less than 1 hour
Crawling: Rarely less than 1 hour
Crouching: Rarely less than 1 hour
Eye/Hand/Foot Coordination: Continuously greater than 5 hours
Feeling: Continuously greater than 5 hours
Grasping (Fine Motor): Continuously greater than 5 hours
Grasping (Gross Hand): Continuously greater than 5 hours
Handling: Continuously greater than 5 hours
Hearing: Occasionally 1-3 Hours
Kneeling: Rarely less than 1 hour
Lifting: Rarely less than 1 hour up to 10 lbs
Operate Foot Controls: Rarely less than 1 hour
Pulling: Rarely less than 1 hour up to 10 lbs
Pushing: Rarely less than 1 hour up to 10 lbs
Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs
Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
Repetitive Motions: Continuously greater than 5 hours
Sitting: Continuously greater than 5 hours
Standing: Occasionally 1-3 Hours
Stooping: Rarely less than 1 hour
Talking: Occasionally 1-3 Hours
Walking: Rarely less than 1 hour
Working Conditions Burn: Rarely less than 1 hour
Chemical: Rarely less than 1 hour
Dusts: Rarely less than 1 hour
Electrical: Rarely less than 1 hour
Explosive: Rarely less than 1 hour
Extreme Temperatures: Rarely less than 1 hour
Infectious Diseases: Rarely less than 1 hour
Mechanical: Rarely less than 1 hour
Noise/Sounds: Occasionally 1-3 Hours
Other Atmospheric Conditions: Rarely less than 1 hour
Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
Radiant Energy: Rarely less than 1 hour
Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
Hazards (other): Rarely less than 1 hour
Vibration: Rarely less than 1 hour
Wet and/or Humid: Rarely less than 1 hour
Equal Opportunity Statement Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
About Stormont Vail Health Stormont Vail Health is a nonprofit integrated health system that has been serving the health care needs of Kansas for more than 130 years. Stormont Vail has been recognized as a Magnet organization since 2009 by the American Nurses Credentialing Center. It is composed of Stormont Vail Hospital, a 586-bed acute care hospital, and Cotton O’Neil Clinic, a multi-specialty physician group with more than 500 providers, which includes more than 250 physicians. Nearly 5,300 employees provide care and support services for patients in the hospital and 35 other locations, including the Cotton O’Neil Heart Center, Cancer Center, Diabetes & Endocrinology Center, Digestive Health Center, Pediatrics clinics and 10 regional primary care clinics. Stormont Vail Health is committed to its mission of improving the health of the community by being a national leader in providing compassionate, high quality and efficient integrated care through collaboration that results in a healthier community.
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