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Coder Specialty

CHI Saint Joseph Health System

This is a Full-time position in Lexington, KY posted June 9, 2021.

Overview:

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U. S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U. S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Responsibilities

JOB SUMMARY / PURPOSE

The Coder Specialty is responsible for the appropriate advanced specialty coding to patient health records for purposes of document retrieval, analysis and claim processing. Serves as a resource to other Coders. Ensures coding is in compliance with guidelines of the organization. May also operate imaging equipment and performs diagnostic procedures. If so, obtains patient history, explains routine procedures and addresses patient concerns. If necessary, prepares and administers barium salts or other chemical mixtures. May perform diagnostic imaging procedures under the supervision of a Radiologist and/or physician. Prepares and maintains records and files as directed. Cleans and adjusts equipment.

ESSENTIAL KEY JOB RESPONSIBILITIES

* Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines.

* Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).

* Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment.

* Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provides codes various departments upon request.

* Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided.

* Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account.

* Ensure compliance with coding, billing, and data collection guidelines of the organization.

* May assist with the training of coders.

* Participate in special projects and/or completes other duties as assigned by manager.


Qualifications

Required Education for Staff Job Levels

High School Diploma or Equivalent Required. If performing Radiologic exams: Graduate of an accredited school of Radiologic Technology.

Required Licensure and Certifications

* Certified through the American Association of Procedural Coders (AAPC) with specialist or specialty coding credentials in their respective specialty discipline

* Certified through the American Health Information Management Association (AHIMA) as one of the following: RHIT, RHIA, RCC, CCS, or CCS-P

* 5-7 years coding experience preferred * 1 year advanced specialty coding experience in a health care organization preferred

* If performing Radiologic Exams: State of Kentucky License required. Possess and maintain certification by the American Registry of Radiologic Technologists (ARRT) required. BLS within 30 days of employment.

Required Minimum Knowledge, Skills and Abilities

* Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.

* Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

* Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

* Computer Skills: Must be proficient with the Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.

PREFERRED Qualifications

Associate’s degree in related field. Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology

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