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You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. We’ve built a culture that supports and celebrates the extraordinary. Join LCMC Health, and you’ll find our everyday makes it easy to live your extraordinary.
Essential Function
The Coding Senior will be responsible for applying the appropriate ICD‑10‑CM/PCS and CPT diagnostic and procedural codes and determining the MS‑DRG and APR‑DRG assignment of inpatient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns) or applying the appropriate ICD‑10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (family medicine, internal medicine, cardiology [IR], etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I.
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS‑DRGs and APCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to inpatient, outpatient, or ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
Tracks issues (e.g., missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets or exceeds coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up‑to‑date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
Job Qualifications
Education
Completion of an American Health Information Management Association (AHIMA) approved coding program or
American Academy of Professional Coders (AAPC) approved coding program or
Associate degree in health information management or related field or
Equivalent combination of years of education and experience required.
Experience
Minimum two (2) years of current complex outpatient and inpatient coding experience.
License/Certification
Certified Coding Associate (CCA) from AHIMA or
Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC) combination from AAPC.
Uncertified staff must obtain medical coding certification within twelve months through an approved LCMC coding program.
Preferred
RHIA / RHIT, Certified Coding Specialist (CCS) certification.
Special Skills / Training
Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS‑DRG or APC grouping and components of charge description master for charging functions.
Knowledge of third‑party reimbursement regulations and billing practices.
Experience utilizing encoding/grouping software.
Proficiency with standard desktop and Windows‑based computer systems, including basic understanding of email, internet, and computer navigation.
High ethical standards.
Knowledge of ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, MS‑DRG, APR‑DRG, and APC coding principles and guidelines.
Experience in ICD‑10‑CM/PCS coding and reimbursement training.
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider‑based clinic encounters.
Knowledge of hospital and professional coding including provider‑based billing.
Knowledge of documentation regulations of Joint Commission and CMS.
Experience with concurrent coding reviews.
Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.
Experience in assisting and identifying learning needs as well as providing training to coding staff.
Strong analytical abilities and problem‑solving skills.
Excellent oral, written, and interpersonal communication skills.
Ability to organize and set priorities to ensure objectives are met in a timely manner.
Ability to adapt to change and handle challenges proactively.
Ability to effectively collaborate with physicians and managerial staff at all levels.
Work Shift
Days (United States of America)
Equal Opportunity Employment
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
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