编码专员 III
Coding Specialist III
在Savista,我们帮助客户应对医疗保健领域最大的挑战:提供优质的临床护理,带来积极的患者体验,并实现最佳的财务成果。我们与医疗机构合作,解决问题并提供收入周期改进服务,助力他们的成功,支持他们的患者,并培育他们的社区,同时践行我们的价值观——承诺、真诚、尊重和卓越(CARE)。
高级编码员审查临床文档以对住院医院相关索赔和数据需求进行诊断和程序编码。对于专业和专业技术索赔及数据需求,高级编码员审查临床文档以进行诊断、EM等级和手术CPT编码。此外,该职位还需验证MS-DRG和APC计算,提取临床数据,处理与诊断、EM等级、手术CPT和/或PCS编码相关的索赔清理编辑,并可能与客户员工和供应商互动。
职责与责任:
- 以商业合理的生产率对住院就诊分配ICD-10-CM和PCS代码,或对医生就诊分配ICD-10 CM代码、专业和技术EM等级以及手术CPT代码,并保持95%或更高的质量水平。
- 验证MS-DRG或APC分配,视情况而定。
- 适当提取临床数据。
- 处理与医院住院编码相关的索赔清理编辑或专业和技术编码相关的索赔清理编辑。
- 按照管理层指示参加客户和Savista的会议和培训。
- 保持对客户任务中使用的编码规范的持续了解。
- 执行其他相关职责。
技能与资格:
- 持有活跃的AHIMA(美国健康信息协会)认证或活跃的AAPC(美国职业编码员协会)认证
- 在过去六个月内,针对所招聘的特定患者类型,有一年相关的编码经验
- 通过指定的入职前测试,成绩达到80分以上
注意:根据州法律要求,Savista在向适用地区的居民招聘时需包含此职位的薪资范围。此职位的薪资范围为每小时22.08美元至34.69美元。然而,具体薪酬将在上述范围内根据多种因素进行调整,包括但不限于地理位置、候选人经验、适用性等。
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Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Coder III reviews clinical documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coder III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical data, mitigates diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits, and may interact with client staff and providers.
Duties & Responsibilities:
- Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level.
- Validates either MS-DRG or APC assignments, as applicable.
- Abstracts clinical data appropriately.
- Mitigates either hospital inpatient coding-related claims scrubber edits or professional and technical coding-related claims scrubber edits.
- Participates in client and Savista meetings and training sessions as instructed by management.
- Maintains an ongoing current working knowledge of the coding convention in play at client assignments.
- Performs other related duties as required.
Skills And Qualifications:
- An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential
- One year of relevant coding experience for the specific patient type being hired and within the last six months
- Passing score of 80% on specific pre-employment tests assigned
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
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Originally posted on Himalayas