Possesses the knowledge and skills to thoroughly review the clinical content of outpatient, therapy/recurring series, specialty clinic, emergency department/emergency charge capture, outpatient surgery, observation, and simple inpatient medical records and assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for optimal reimbursement.
- Studies and analyzes the clinical content of a medical record.
- Assigns and sequences diagnosis and procedure codes appropriately to arrive at the correct DRG or APC assignment.
- Enters coding information into the computer system for reimbursement use by Patient Financial Services.
- Maintains current knowledge of clinical coding guidelines, Fiscal Intermediary directives, coding compliance standards, and Local Medical Review Policies.
- Instructs other hospital personnel on appropriate medical necessity needed for accurate coding.
- Assists with peer review auditing activities for accuracy and compliance.
- Maintains strict confidentiality regarding patient information.
- Works as part of a team to ensure coding accuracy meets or exceeds the department standard of 95% while maintaining productivity expectations.
- Adheres to AHIMA ethical standards, Official Coding Guidelines, and applicable policies, procedures, regulations, and expectations of Bryan Health.
- Participates in meetings, committees, and department projects as assigned.
- Performs other related projects and duties as assigned.
Requirements & Qualifications
- High school diploma or equivalency required.
- Coursework in ICD-10-CM and CPT coding procedures required.
- Certified Coding Specialist - Professional (CCS-P) or Certified Professional Coder (CPC) required.
- Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) preferred.
- Minimum of 1 year of facility coding experience in a medical environment required.
- Knowledge of anatomy, physiology, pharmaceuticals, medical terminology, disease process, ICD-10, and CPT coding.
- Ability to meet high standards of accuracy and productivity.
- Ability to prioritize work and seek assistance when appropriate.
- Strong verbal and written communication skills.
- Ability to work independently with minimal supervision.
- Strong problem-solving and critical-thinking skills.
- Ability to maintain confidentiality and regular, punctual attendance.
Location
Lincoln, Nebraska, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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