专业编码专员II-（介入放射学）
Professional Coding Specialist II-(Interventional Radiology)
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审查所有外科文档，以分配准确的ICD-10、CPT、HCPCS代码和修饰符，用于WVU Medicine范围内进行的复杂手术。遵守国家编码指南，确保所有程序都被准确且一致地编码。在分配程序、诊断和HCPCS代码时，应用美国医学协会（AMA）和医疗保险和医疗补助服务中心（CMS）制定的编码惯例和规则，以确保它们符合CCI编辑、MUE编辑、LCD和NCD的要求。与相关人员联系并协作，以解决文档不足问题，并加快账户处理。
最低资格要求：
教育、认证和/或执照：
1. 高中文凭或同等学历。
2. 通过以下机构之一获得当前的HIM/编码认证：
· 美国健康信息管理协会（AHIMA）
- 美国专业编码员协会（AAPC）
3. 必须在入职后一年内通过美国专业编码员协会（AAPC）获得专科医学编码认证。
经验：
1. 三年医疗编码经验，包括一年的高级外科编码经验。
优先资格要求：
教育、认证和/或执照：
1. 健康信息管理专业的副学士学位。
经验：
1. 四年编码经验。
核心职责和责任：此处描述的陈述旨在描述被指派到此职位的人所从事的一般工作性质。它们不打算被构造成所有职责和职责的全面列表。可能会分配其他职责。
1. 作为日常工作的组成部分（85%-95%的工作量），准确编码和/或审核复杂的外科手术，包括但不限于：减肥手术、心胸外科手术、妇科手术、肿瘤外科手术、骨科手术、胸部外科手术、移植手术、创伤和烧伤手术以及开放性血管手术。
2. 审查并准确解读所有账户的医疗记录文档，以确定影响当前住院或门诊就诊的所有诊断和程序，并进行编码。
查看英文原文
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Reviews all surgical documentation to assign accurate ICD-10, CPT, HCPCS codes, and modifiers for complex procedures performed throughout WVU Medicine. Complies with national coding guidelines to ensure that all procedures are coded accurately and consistently. Applies coding conventions and rules established by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) when assigning procedural, diagnostic, and HCPCS codes to ensure that they are in accordance with CCI edits, MUE edits, LCD, and NCD’s. Contacts & Collaborates with appropriate personnel for documentation insufficiencies and to expedite resolution of accounts.MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Diploma or Equivalent.
2. CurrentHIM/Coding Certification throughONEof the following:
· American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
3. Must obtain Specialty Medical Coding Certificationthrough theAmerican Academy of Professional Coders (AAPC)within one (1) year of hire.
EXPERIENCE:
1.Three (3) years ofmedical codingexperienceto include one(1)year of advanced surgical coding experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associates degree in Health Information Management.
EXPERIENCE:
1. Four (4) years of coding experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Accurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery.
2. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
6. Contacts physicians or any persons necessary to obtain information required to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.
7. Monitors on an on-going basis provider documentation. Performs audits to assess provider coding accuracy and follows up with provider education as needed.
8. Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts.
9. Analyzes and resolves issues of missing charges and problem accounts by researching information regarding department reimbursement.
10. Interacts with physician and non-physician providers to maximize correct coding initiatives.
11. Maintains a level of expertise and ever expanding knowledge in coding and sequencing guidelines to ensure that all healthcare information is accurately assigned and appropriate.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Must be able to sit for long periods of time.
2. Must have visual and hearing acuity within the normal range.
3. Must have manual dexterity needed to operate computer and office equipment.
4. Must be Able to lift, push or pull 10-20 pounds.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
3. May require travel.
SKILLS AND ABILITIES:
1. Must be able to concentrate and maintain accuracy during constant interruptions.
2. Must possess independent decision-making ability.
3. Must possess the ability to prioritize job duties.
4. Must be able to handle high stress situations.
5. Must be able to adapt to changes in the workplace.
6. Must be able to organize and complete assigned tasks.
7. Must possess excellent written and verbal communication skills.
8. Must meet quality and productivity standards.
9. Must possess the knowledge of anatomy, physiology and medical terminology.
Additional Job Description:
Can work remote from anywhere in the United States. AAPC or AHIMA required.
Scheduled Weekly Hours:
40Shift:
Day (United States of America)Exempt/Non-Exempt:
United States of America (Non-Exempt)Company:
SYSTEM West Virginia University Health SystemCost Center:
539 SYSTEM HIM Provider Based Coding AnalysisOriginally posted on Himalayas