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Department: HIM/ Medical Records
Status/Schedule: Full Time
Posting Date: 06/11/2021
For more information contact: firstname.lastname@example.org
1. Financial/Coding: Codes ER/OP records. May charge & code ER / OP encounters (infusion/injection, OPS, therapy, etc.). May code inpatient, observation & swing bed medical records. Works closely with various departments as necessary for coding/charging clarification. Assures appropriate documentation is available for complete and accurate coding. Involved in clinical documentation improvement. Queries provider/appropriate staff for coding clarification as required/obtains necessary documentation. Checks medical necessity for required tests and codes accordingly as documented on the record. Verifies APC's. Assigns correct modifiers as indicated. Prints/works coding backlog, TruBridge & month end reports as necessary. Maintains statistical data. May perform coding audits. Routes charts appropriately & logs chart location. RAC preparation. Quality checks on scanned images. Accesses eCw for coding clarification concerns. Follows coding guidelines, correct coding initiatives, standards of ethical coding and policies and procedures. May cover for other coding specialists if indicated. Maintains coding certification/attends educational sessions.
2. HIPAA / Compliance: Follows HIPAA, compliance and OCH policies. Safeguards confidentiality. General knowledge of HIM departmental functions.
3. Communications: Appropriate phone etiquette & communication skills. Communicates problems/concerns to Director. Works well with others.
4. General: Other duties as assigned.