HIM 认证编码员 IP - CFH
HIM Cert Coder IP - CFH
概述
HIM认证编码员负责使用适当的ICD10/ICDPCS、CPT或HCPCs代码以及计算机辅助编码和编码器等编码软件，对医院住院、医院门诊和/或专业费用情况进行准确及时的编码，以确保Carle索赔的合规计费。HIM认证编码员需理解并应用所有监管编码指南，如国家和地方覆盖决定以及CPT修饰符的应用。HIM编码员还需理解并应用编码知识来解决与编码相关的计费编辑问题。HIM编码员使用Carle电子病历系统来审查临床记录。
职责
负责根据适当的编码分类（ICD-10和/或CPT和/或HCPCs和修饰符）系统准确编码所有记录。代码的分配应准确反映与患者相关的诊断和程序。在需要时，为各部门提供编码协助，以确定准确的编码分配。制定方法，提供符合监管机构要求的编码流程，包括使用参考材料，如但不限于医疗保险服务中心（CMS）出版物、编码诊所、CPT助理等。通过多种渠道和任务（审计/监控、培训、通过索赔清理系统促进收费、协助处理各种患者或保险公司相关的收费/账户查询、根据组织内外不同来源的要求研究各种编码/计费相关主题等），优化收入同时保持合规标准。作为CPT、HCPCS、ICD-10-CM以及其他必要编码系统和监管指南的专家资源，为所有内部和外部人员提供支持。作为编码和计费员工的联络人，确保准确的收费捕获。根据审查结果报告任何文档和编码改进需求。负责保持编码认证、知识和技能，以成功完成工作职责。按要求进行供应商和同行编码审计。协助监控编码和计费的内部控制。促进外部审计活动，并将此类活动报告给相应的管理人员。
资格
认证：认证
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Overview
The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.Responsibilities
Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfuly perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.Qualifications
Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Education: , Work Experience:
Carle Health Company Overview
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Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: .
Salary Range
The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.Originally posted on Himalayas