Outpatient Coder I
总结：为了成为我们组织的一部分，每个员工都应该理解和分享 YNHHS 愿景，支持我们的使命，并生活在我们的价值观。这些价值观 - 诚信，专注于患者，尊重，责任和同情 - 都必须指导我们作为个人和专业人士每天所做的事情。在 OP 编码监督人的一般指引下，Ambulator Coder I 负责全面审查医疗记录文件，并在一个复杂的门诊编码服务线中执行各种编码相关活动。工作可能包括但不限于：编码案例，优先考虑分配的编码任务，解决要求修改，处理个人编码工作负载，工作停止账单 （如果指定）,并根据需要向临床人员发送查询.EO/AA/残疾/退伍军人责任 ·审查医疗记录文件以确定适当的 ICD-10-CM 代码按照官方编码准则。·审查医务记录文档，并在适用的情况下精确选择合适的 CPT 代码，修饰器和 ICD-10PCS,根据官方编码指南。这包括解决 CCI 编辑，如有所需。· 在诊断，程序和修改代码选择方面保持至少95%的整体编程质量分数。· 根据该部门对编码服务线所定义的生产力预期进行维护。· 可以编码至少一个复杂的 OP 服务线，包括：心脏病学，干预放射学，观察，肿肿瘤学或同日手术在熟练程度上。·通过阅读杂志，编码文章，研究程序和/或疾病过程来确保适当的编码选择，定期参加编码教育会议并积极参与学习圈子，参与和寻求职业发展活动。·定期使用部门资源，并随着最小的协助或干预来进行日常工作，以实现 CFB （提现候选人）目标。·解决返回教育和/或错误编码案例，并利用反来改善持续绩效。·处理编码 DNB 和停止账单 （如果分配）,或者其他项目和/或编码举措。·与同行和/或领导层合作创建和维护准确的最新政策和程序。·表现对专业的热情，拥抱提供的教育机会和部门支持，并继续参与
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Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Under the general direction of the OP Coding Supervisor, the Outpatient Coder I is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff.
EEO/AA/Disability/Veteran
Responsibilities
- Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines.
- Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD-10-PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable.
- Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection.
- Maintains the productivity expectations as defined by the department for the coding service line.
- Capable of coding a minimum of one complex OP service line, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency.
- Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles.
- Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals.
- Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance.
- Handles coding DNBs and stop bills (if assigned), or other projects and/or coding initiatives as assigned.
- Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures.
- Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department.
Qualifications
EDUCATION
· Bachelors degree preferred. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process.
EXPERIENCE
· Requires a minimum of 2 years of outpatient or professional coding experience in a complex service line. Coding experience may be partly substituted for a college degree with an RHIT/RHIA credential or CCS/CCS-P coding credential. Prior experience in Epic and 3M encoder is preferred.
LICENSURE
· CCS, CCS-P, or RHIT credential preferred. Must possess a valid coding credential through AAPC and/or AHIMA. CPC-A or CCA not accepted.
SPECIAL SKILLS
· Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced OP Coding department setting. Knowledge of professional E/M leveling preferred. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision.
YNHHS Requisition ID
161127Originally posted on Himalayas