Careers >> HIM Hospital Coder II - Cardiology (REMOTE)
HIM Hospital Coder II - Cardiology (REMOTE)
Summary
Title:HIM Hospital Coder II - Cardiology (REMOTE)
ID:34453
Department:Health Information Management
Location:Remote
Description

*****MUST BE AHIMA CERTIFIED CARDIOLOGY CODER******

REMOTE  Position 



 Education/License/Certification

  • Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
  • Completion of classes in medical terminology, anatomy and physiology, ICD-9 and CPT coding conventions, and disease process from an accredited program.
  • Must have high school diploma or GED.


Scope of the project:
Review and report on encounters held in a WQ for Go-Live for CPACS - All Cardiology related to Caths and ECHOS, occasional assistance with HB for same.
Top 3 preferred skills: Cardiology - Hospital, Cardiology - PRO FEE, Cardiac Cath Lab
Top 5 daily responsibilities: Review and report accuracy of Charges during Go-Lives, send charges on once approved.
# of team members: 2 including this coder
Top 3 preferred personality traits: Ability to work with others, ability to listen carefully when interacting on conference calls, timeliness, accuracy


 Qualifications

  • Must have at least three (3) years continuous hospital inpatient experience coding within the last five years.
  • Demonstrated ability to understand the clinical content of a health record, including the most complicated records.
  • Must also be able to communicate with physicians in order to clarify diagnoses/procedures and sequencing of diagnoses. Ability to demonstrate knowledge of and utilize auditing skills related to coding quality and compliance
  • Must be able to meet quantity and quality standards established for Coders II, maintain current coding credential and will abide by the AHIMA coding code of ethics.
  • Must maintain current coding credential as for mentioned. Will abide by the AHIMA coding code of ethics.
    Basic PC skills.

Duties

  • Review medical records to identify diagnoses/procedures.
  • Under general supervision, organizes and prioritizes all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements.
  • Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems.
  • Demonstrates knowledge of anatomy and physiology to interpret general medical classifications for coding discharge data including the most complicated encounters/cases.
  • Codes all diagnostic and operative information from the medical record using ICD-9-CM, CPT and HCPCS coding classification systems and quality checks own work.
  • Optimizes hospital payment legitimately and ethically by utilizing approved coding guidelines and conventions.
  • Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment.


  Assign Codes

  • Under direct supervision: Codes all diagnostic and operative information from the medical record using ICD-9-CM , CPT, HCPCS level 2 coding classification systems.
  • Selects the DRG for each inpatient case.
  • Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment.
  • Verifies and abstracts all medical data from the record to complete a data abstract on hospital encounters.
  • Corrects data as appropriate.
  • Ensures that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
     
    Completion of Medical Records:
  • Under general supervision, interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
  • Enters patient information into the computerized inpatient and outpatient medical record databases, ensuring the accuracy and integrity of the medical record abstract or encounter data prior to transmitting case.
  • Ensures timely record availability by meeting coding and abstracting productivity / quality standards established for Coders I.
  • Participates in medical record documentation auditing to monitor physician compliance with regulatory requirements i.e., Physician Review Project.
     

Confidentiality/Security of Systems:
Maintains and complies with policies and procedures for confidentiality of all patient records.
Demonstrates knowledge of security of systems by not sharing computer logons. Corporate Compliance Accountability:
Consistently supports the precepts of Corporate compliance and Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures.


 

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