Noncredential Coder

Job Description

JOB SUMMARY

The Inpatient, Outpatient/ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using ICD-9-CM, ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS classifications.

Job Requirements

JOB REQUIREMENTS

Minimum Education

• Must possess a high school diploma or equivalent.

Minimum Work Experience

• Two years previous coding experience preferred and/or credentialing as an RHIT, RHIA, CCS, CPC, or CPC-H.
• Must have knowledge of ICD-9-CM, ICD-10-CM, CPT-4/HCPS, CPT-4/HCPCS coding guidelines, medical terminology, anatomy, physiology and excellent computer skills.

FUNCTIONAL DEMANDS

Physical Requirements

Sitting - =>32%

Walking - 1-15%

Standing - 1-15%

Bending/Squatting - 1-15%

Climbing/Kneeling - 1-15%

Twisting - 1-15%

Visual and Hearing Requirements

Must be able to see with corrective eye wear if needed.

Must be able to hear clearly with assistance if needed.

Physical/Environmental requirements

Lifting - 0 -50 lbs, 50 or more with assistance

Carrying - 0- 50 lbs, 50 or more with assistance

Pulling - Up to 100 lbs

Pushing - Up to 100 lbs

OSHA

Minimal potential for direct exposure

LEADERSHIP CAPABILITIES

Mission, Service and Values

Supports the hospital Mission, Service, and Values

ESSENTIAL FUNCTIONS

Essential Functions

• Accurately codes and abstracts all medical records.
• Monitors Discharged Not Final Billed (DNFB) accounts. all medical records should be coded within 6 days of patient discharge.
• Performs chart audits on clinic records and educates physicians as needed.
• Pays close attention to documentation in the record to support medical necessity of tests performed. Checks
• Local Coverage Determinations to assure medical necessity.
• Checks National Correct Coding Initiative edits to sure that appropriate modifiers are applied to CPT/HCPCS codes when necessary.
• Works with physicians regarding diagnoses and documentation in the medical record.
• Promptly and fully investigates all complaints and/or problems through own action or referral to the to a Supervisor.
• Reports any errors or corrections that need to be made in the medical record to the HIM Department so they can be corrected in the Soarian EDM system.
• Acknowledge and work all Soarian Financials worklists (Charge Error Work List, Bill Error Cube, and Enhanced Worklists, etc.) on a daily basis.
• Assist with all other duties as assigned.

ORGANIZATIONAL EXPECTATIONS

T.J Pledge

I Will Show Compassion

-see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.

-recognize that each and every interaction I have at T.J. Regional Health matters

-show kindness and compassion towards my customers at all times

-be sensitive to the personal and private needs of every customer

I Will Cooperate With Others

-maintain zero tolerance for abusive behavior

-listen and be willing to accept fault when I make a mistake

-never underestimate the power of an apology

-refrain from blame and judgment

-bring a sense of calm to stressful situations

I Will Collaborate With Others

-value myself and every coworker as an equal part of one GREAT team working together

-treat others in a way that I would like to be treated

-participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health

-foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults

-speak honestly, seek truth, and act with integrity towards my teammates

-value the uniqueness and expertise that each team member contributes to the whole

-meet the need of the moment, regardless of whether or not it is considered part of my job

I Will Communicate

-smile - at everyone

-always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction

-follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away

-escort any customer in need (visitors, patients) to their destination

I Will Adapt To Change

-be a part of the solution when I am presented with a challenge

-embrace change and set the example for those around me

-accept openly when there are changes that T.J. Regional and/or I have no control over

-manage the expectations of others by explaining duration and next steps as often as needed

I Will Be A Champion

-serve with passion

-view myself as an owner of T.J. Regional Health and act accordingly

-take responsibility for the physical appearance of T.J. Regional Health, including my work area

-go out of my way to daily thank and compliment my customers and coworkers

-dare to make a difference and be exceptional

-constantly try to improve myself and T.J. Regional Health

-speak positively about T.J. Regional, while at work and in public places outside of work