Per Diem Medical Records-Coder Opportunity
Del Amo Behavioral Health System, a subsidiary of UHS, offers a safe and compassionate environment for individuals looking for hope and healing from emotional, psychiatric and addiction issues. Del Amo Behavioral Health offers a wide range of options, including inpatient, outpatient and specialty programs that includes children, adolescents, adults and seniors. Whether addressing the needs of adults, adolescents or children, we are committed to providing our patients with treatment to help them find recovery that endures. Our patients receive the same quality treatment from our thoughtful and compassionate team no matter the level of care.
This position is responsible for the timely coding and abstracting of medical records in accordance with the current principles of ICD-10 and CPT coding guidelines using Quadramed/Quantum encoding system. This position will also resolve technical coding and sequencing problems with the HIM manager and or CFO, and is responsible for accurate abstracting of patient data into the AS-400 computerized data base system in accordance with the department policies and guidelines. Duties include but not limited to:
- Accurately abstracts patient data into the AS-400 computerized data base system in accordance with the department policies and guidelines.
- Always maintains abstracting of discharged records, enters data accurately into Med Series computer.
- Interfaces with the medical staff in order to acquire the required data to complete the interim and final coding of charts.
- Demonstrates complete understanding of all procedures concerning sequencing of diagnosis and other abstracting information as outlined in procedure manual and the coding guidelines.
- Accurately codes admission, interim and discharge diagnosis in patient medical records and enters codes on face sheet without abbreviation on completion.
- Assists in the development and revision of hospital policies and procedures relating to coding and abstracting of discharge records.
- Always safeguards and preserves the confidentiality of patient identifiable information in accordance with hospital and departmental policy.
Qualifications:
- Education: High School Diploma or Equivalency required.
- Credentials: CPC, CCS Certification from AHIMA required.
- Experience: Computer experience that includes but not limited to Excel, Power Point, Microsoft, and Quadramed.3M Encoder required.
- Knowledge/Skills: Must have knowledge of medical terminology, and be skilled in the use of DSM5 and ICD-10 medical terminology. Must be able to type accurately and have basic clerical training, which includes computer skills, basic filing skills and fundamental knowledge of office procedures. Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations; Must be able to make independent and responsible decisions within current policies and procedures of the medical record dept. Must be able to comprehend and perform oral and written instructions and procedures; Must be able to collaborate with other multidisciplinary team members in an appropriate fashion; Must be capable of adapting to varying workloads an work assignments on a constant basis; Must have effective comprehensive reading skills, strong communication skills, written and verbal.