The Hospital Coding Specialist III accurately codes and abstracts all levels of inpatient medical records to achieve complete and compliant coding of assigned accounts and meet reimbursement, indexing, statistical, and reporting requirements. Scrutinizes DRG assignment to optimize reimbursement for inpatient care. Collaborates with clinical documentation improvement specialists, physicians, and other clinicians to clarify medical record entries and improve documentation practices. Assists with end-of-month and error reconciliation processes, including retrospective verification of medical necessity. Must have the ability to work independently in a fast-paced environment with the skills to prioritize and shift focus as need arises. Must project a mature, customer-focused attitude and professional demeanor in all contacts.FTE 0.2Job ID 2018-16816# of Openings 1Category Clerical/OfficeType PRN/TR (As Needed)Shift Days
PART III: POSITION RESPONSIBILITIES (ESSENTIAL FUNCTIONS)Qualifications
Accurately assigns and sequences appropriate ICD-10-CM for all diagnoses, procedures, signs, symptoms, and conditions documented in the medical record.
Actively participates in continuing education opportunities to improve job performance and/or maintain credentialing.
Actively works with Clinical Documentation Improvement team to enhance concurrent query process and knowledge of ICD and DRG principles.
Adheres to recognized coding guidelines in all aspects of work.
Assists in end-of-reporting-period, backlog completion, medical necessity verification, and error reconciliation processes.
Collaborates with Patient Financial Services and source departments to achieve timely error-free coding and billing.
Completes or reassigns records within coding queues to reflect coding status of each account handled.
Enters abstracted data into Affinity system.
Enters correct present on admission status for each diagnosis code assigned.
Groups cases into correct classifications (e.g. MS-DRG, APR-DRG)
Links procedure codes assigned during the coding session to the correct operative episode and physician.
Prepares, submits, and follows up on physician queries to clarify documentation and optimize reimbursement.
Promptly refers appropriate accounts for second review and follows up of each
Reviews and responds to CCI (correct coding initiative) edits and HAC (hospital acquired condition), ROM (risk of mortality), and SOI (severity of illness) status indicators identified during the encoder session to achieve compliant coding and optimize appropriate reimbursement.
Verifies accuracy of essential downloaded information.
Verifies that all physicians involved in the patient's care are correctly recorded in the abstract.
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Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals® by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.
Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago’s southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedication is respected, where superior performance is rewarded with competitive salaries and excellent benefits.
Certified Coding Specialist
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