Coder III, CodingUS:TX:McAllen | Health Information Management | Full Time
POSITION EDUCATION/QUALIFICATIONS RHIA, RHIT, CCS or CIC required.
Three to five years hospital experience required.
Experience and/or advanced training in medical coding (MS/APR DRG's, ICD-10-CM, CPT, HCPCS, etc.).
Must have extensive knowledge of medical terminology, anatomy and physiology, knowledge of pharmacology and all major diseases.
Requires reasoning ability and good independent judgment.
Critical thinking skills are a must.
Must have strong interpersonal skills and the ability to multi-task.
3M CRS software experienced preferred.
Requires good communication and organizational skills.
Must have an understanding of laws and ethics related to health insurance, medical billing and the Health Insurance Portability and Accountability Act (HIPAA).
Requires working with minimal to moderate interruptions.
Must complete CE hours annually, according to certification requirements.
Professional coding and billing experience a plus.
POSITION RESPONSIBILITIES Promotes the facility mission, vision and values by effectively communicating them to others.
Considers mission, vision and values in developing services, standards and practices
Accurately codes all inpatient diagnoses and procedures according to ICD-10-CM/PCS, CPT and HCPCS coding conventions and guidelines.
Follows the AHIMA Standards of Ethical Coding to adhere to Coding Compliance guidelines.
References ICD-10-CM/PCS, CPT, and HCPCS Level II code books as needed.
Accurately attach HCPCS level I and level II modifiers when appropriate
Utilizes 3M Coding references daily for final coding
Utilizes computerized 3M Coding Software.
Meets quality standards of having 95% of charts coded accurately.
Maintains a good working relationship within the department, other departments and medical staff
Codes all available records in a timely manner.
Queries physicians for clarification when ambiguous or incomplete information is present.
Communicates with Coding Manager to solve problems and to clarify coding issues.
Attends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements
Reviews Coding Clinic updates and continuing education periodicals in a timely manner
Maintain ongoing education to stay abreast of updates in coding conventions and practices
Assists the business office with clearing reimbursement and denial issues
Clears Aeos in a timely manner
Notify HIM staff of incomplete or un-scanned records through the tickler system
Adheres to the Health Information Management Policies and Procedures for coding.
Adheres to the Coding Compliance Plan.
In case of any inaccuracies or discrepancies in the medical record, then it is his or her responsibility to report the matter to the appropriate department so that the necessary corrections can be made
Maintains confidentiality and safeguards all patient related information
Ability to train and mentor junior staff members
Performs Peer review and internal audits
Performs other duties as assigned
CUSTOMER SERVICE Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.
AMERICANS WITH DISABILITIES ACT (ADA) LIGHT/MODERATE LIFTING UP TO 20 LBS, FROM THE FLOOR TO SHOULDER HEIGHT.
KNELING
MUST BE ABLE TO ASSIST OTHER EMPLOYEES WITH LIFTING MORE THAN 20 LBS.
WALKING
LIGHT/MODERATE CARRYING UP TO 20 LBS.
STANDING/SCATTING
STRAIGHT PULLING
SITTING
PULLING HAND OVER HAND
PUShING
REPEATED BENDING
STOOPING/BENDING
REACHING ABOVE SHOULDER
CLIMBING STAIRS
SIMPLE GRASPING
DUAl SIMULTANEOUS GRASPING
DEPTH PERCEPTIONS NEEDED
ABILITY TO SEE
IDENTIFY COLORS
OPERATING OFFICE EQUIPMENT
TWISTING
OPERATING MECHANICAL EQUIPMENT
CRAWLING
ABILITY TO READ AND WRITE
ABILITY TO COUNT
ABILITY TO HEAR VERBAL COMMUNICATION WITHOUT AID
OPERATING PERSONAL VEHICLE
ABILITY TO COMPREHEND WRITTEN/VERBAL COMMUNICATION
OTHER: ABILITY TO DEAL WITH STRESS
OSHA CATEGORY - IIIB WORKING CONDITIONS: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
C. OCCUPATIONAL EXPOSURE THIS POSITION HAS MINIMAL TO NO EXPOSURE TO BLOOD, BODY FLUIDS, OR TISSUES AND IS AN OSHA CATEGORY III (ALTHOUGH SITUATIONS CAN BE IMAGINED OR HYPOTHESIZED UNDER WHICH ANYONE, ANYWHERE, MAYBECONTAINED PROVISIONED WITH POTENTIAL EXPOSURE TO BODY FLUIDS). PERSON WHO PERFORMS THESE DUTIES ARE NOT CALLED UPON AS PART OF THEIR EMPLOYMENT TO PERFORM OR ASSIST IN EMERGENCY MEDICAL CARE OR FIRST AID OR TO BE POTENTIALLY EXPOSURED IN SOME OTHER WAY.
D. APTITUDES HIGH 1 2 3 4 5 6 LOW
Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3
Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships of mind, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3
Numerical: Ability to perform arithmetic operations quickly and accurately. 2
Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2
Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures (and widths and lengths of lines). 3
Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2
Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make
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