Purpose of Job This position is responsible for reviewing clinical documentation and charges for assignment of compliant, accurate and complete ICD-10, CPT, HCPCS codes and modifiers. Outpatient coders review/apply codes that detail the volume and intensity of hospital, health system, or provider resources used to deliver patient care, such as the use of medical equipment, medication, and nursing staff. Areas of focus include, but are not limited to facility and professional fee, Outpatient, ED, Wound, Same Day Surgery, Observation, Swing Bed, Ambulance, Home Health, and Hospice. Legitimately and ethically apply codes based on Official Coding Guidelines and NCCI guidelines with physician/department consultation/query when appropriate. Responsible for coding all Ridgeview locations including but not limited to critical access hospitals. Job Functions Identifies, verifies, abstracts and translates medical record documentation to accurate and complete codes according to industry approved guidelines and department policies. Completes coding queues/tasks as assigned, maintaining a consistent level of productivity and accuracy. Maintain accurate coding-related information in other platforms, which may include claims clearinghouse, practice management system and encoding software. Review and/or correct coding related denials. Participate in coder specific training and education. Maintain certification and continuing education hours. Attend mandatory training and on site meetings. Participate in and attend audit and education for physicians/clinicians and departments. Travel to and/or permanently work at a site within a clinic or hospital. Ability to work remotely after meeting and maintaining productivity and quality standards. Performs other duties as assigned. Minimum Education/Work Experience Coding Certification through approved association in relation to job Knowledge/Skills/Abilities Knowledge of coding principals (ICD/CPT/HCPCS) Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above Knowledge of Anatomy/Pathophysiology/Pharmacology/Surgical procedures Knowledge of basic computer functions and Microsoft Office applications Ability to prioritize and organize responsibilities License/Certifications AAPC, AHIMA, or NAAC Preferred Qualifications Minimum 1-2 years of healthcare coding experience Experience using EPIC 3M Encoder experience Excellent analytical and critical thinking skills in order to identify, analyze, research and develop solutions for coding related issues and/or process improvement. Link to Employee Health Physical Demands Compensation Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials. Benefits Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families. Click here to view the benefits available. Ridgeview Medical Center will not discriminate against or harass any employee or applicant for employment because of race, color, religion, sex, pregnancy, citizenship, national origin, age, disability, military service, veteran status, genetic information, union membership, creed, marital status, familial status, sexual orientation, gender identity, status with regards to public assistance, membership in a local human rights commission, or any other category that may be protected by law.
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Ridgeview Medical Center