高级编码员 - 门诊部
Senior Coder - Outpatient
公司：
Allegheny Health Network职位描述：
总体概述：
此职位负责全面的医疗记录审查，提取医疗和人口统计数据，解释并应用诊断和程序，使用ICD和CPT编码系统，并协助减少平均应收账款天数。
核心职责
- 审查和解释医疗信息、医生治疗计划、过程和结果，以确定适当的ICD-10 CM/CPT代码用于诊断和程序。（60%）
- 提取数据元素以满足医院、医疗体系、医疗人员等的统计需求，并将所有编码/提取的信息输入指定系统。（15%）
- 确保与未计费编码报告相关的医疗信息和现金流的高效管理。（10%）
- 通过参加适当的培训、阅读编码研讨会和其他资源，了解ICD-10 CM/CPT指南的变更/更新，并在日常工作中实施这些更新。（5%）
- 作为导师和专家为他人提供支持。（5%）
- 执行其他指派或要求的职责。（5%）
资格要求：
最低要求
- 高中毕业/GED
- 5年医院和/或医生编码经验
- 1年所有专业和服务线的编码经验
- 对创伤/教学/观察指南有深入了解
- 成功完成解剖学、生理学和医学术语的编码课程
- 以下任何一项：
- 认证编码专家（CCS）
- 注册健康信息技术人员（RHIT）
- 注册健康信息协会成员（RHIA）
- 认证编码专家医生（CCS-P）
- 认证专业编码员（CPC）
- 认证门诊编码员（COC）
优先考虑
· 专科文凭
免责声明：本职位描述旨在表明在此职位上工作的员工的一般性质和基本职责和责任。它可能不包含该职位所需的所有职责、责任和资格的完整清单。
合规要求：此职位遵守《商业行为准则》和公司政策中规定的道德和法律标准及行为期望。
作为工作职责的一部分，员工可能会接触到受保护的信息、持卡人数据或其他机密客户信息，必须始终加以保护。为此，所有员工必须遵守《健康保险可携性和责任法案》（HIPAA）等相关法规。
查看英文原文
Company :
Allegheny Health NetworkJob Description :
GENERAL OVERVIEW:
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems andassists in decreasing the average accounts receivable days.
ESSENTIAL RESPONSIBILITIES
- Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
- Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
- Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
- Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
- Acts as a mentor and subject matter expert to others. (5%)
- Performs other duties as assigned or required. (5%)
QUALIFICATIONS:
Minimum
- High School/GED
- 5 years of Hospital and/or Physician Coding
- 1 year of Coding - all specialties and service lines
- Extensive knowledge in Trauma/Teaching/Observation guidelines
- Successful completion of coding courses in anatomy, physiology and medical terminology
- Any of the following:
- Certified Coding Specialist (CCS)
- Registered Health Information Technician (RHIT)
- Registered Health Information Associate (RHIA)
- Certified Coding Specialist Physician (CCS-P)
- Certified Professional Coder (CPC)
- Certified Outpatient Coder (COC)
Preferred
· Associate's Degree
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$23.73Pay Range Maximum:
$37.14Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Originally posted on Himalayas