Certified Surgery/Observation Coder

    Highlights

    38.13 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits . • Reviews provider documentation and revises and/or assigns ICD-10-CM codes.

    Numbers & Facts

    LocationIllinois
    Websitesih.net/careers/benefits

    Description

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    Position Summary

    • Reviews provider documentation and revises and/or assigns ICD-10-CM codes

    and CPT/HCPCS codes as appropriate, based on official coding guidelines.

    Researches and takes appropriate action on any coding/claim edits.

    • Coding focus is complex outpatient hospital based (Observation, Emergency

    Department, Wound, Ambulatory Surgery) or provider based complex procedural

    services (surgery, procedures, wound).

    Principal Accountabilities

    • Standards of Performance: Respect, Integrity, Compassion, Collaboration,

    Stewardship, Accountability, Quality

    Education

    • High School Diploma required. Preferred Associate or Bachelor Degree in

    Health Information or a healthcare related discipline.

    Licenses and Certification

    • Required:

    o RHIA, RHIT, or CCS (hospital)

    o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)

    Experience and Skills

    • Hospital & Provider Based:

    o RHIA, RHIT, CCS – None.

    • Provider Based:

    o CCS-P, CCA, or CPC – 3 years procedural coding required.

    Physical Activities

    • Intermittent hand manipulation required

    • Intermittent lifting and carrying of 20 pounds

    Role Specific Responsibilities

    o Follows all coding policies, procedures, standard operating procedures

    o Effectively uses encoding software and reference materials to assign

    appropriate codes.

    o Provider driven coding: Reviews and accepts or revises code selection

    based upon documentation and coding guidelines.

    o Non – provider driven coding: Reviews provider documentation and

    assigns appropriate codes based upon coding guidelines

    o Reviews coding edits and accurately resolves so encounter can be sent to

    claims.

    o Sends clear, respectful communications to provider inbasket or queries

    when additional information is needed before finalizing coding.

    o Identifies and communicates to Coding Lead/Supervisor/Manager any

    issues related to documentation, coding or systems that may impact

    quality, compliance, or productivity

    o Performs work que duties as assigned by Coding

    Lead/Supervisor/Manager.

    o Maintains coding quality and productivity standards

    o Actively engages and makes meaningful contribution when participating

    in performance improvement initiatives, department meetings and other

    meetings as required.

    o Maintains required CEU’s

    Compensation (Commensurate with experience):

    $24.6

    To

    $38.13

    To access our Benefits Guide/Plan Information, please click the link below:

    http://www.sih.net/careers/benefits

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