Reviews the medical record of all outpatient, ancillary and ancillary recurring hospital encounters to determine the principal diagnosis and procedure and all appropriate secondary diagnoses and procedures
Using the International Classification of Diseases (ICD-9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principals and department guidelines; enters into the Epic Hospital Billing system for transmittal to billing system
Abstracts and codes all required clinical and demographic data for OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the Epic Hospital Billing system
Assigns ICD-9/ I-10 codes to the chief complaint of outpatient diagnosis accounts; enters into the Epic Hospital Billing system. Enters CPT codes, as appropriate
Reviews accounts for coding edits and corrects those edits
Maintains current knowledge of the most recent ICD-9-CM Official Guidelines for Coding and Reporting, the annual changes to the ICD-9 diagnosis and procedure codes, and the annual changes to the CPT procedure codes. Recognizing that we are in a period of change, the same would be expected for ICD-10 diagnosis and procedure coding, once implemented
Ensures that the coding units Weekly Accounts Receivable (WAR) goals are met, by meeting the productivity standards established for this position
Performs other duties as assigned
Job Specific Competencies
Meets standards for correct diagnoses and procedure identification and code assignment
Meets standards for OSHPD required data
Meets WAR report / HB Dashboard productivity goals 97% of the time
Is organized and has the ability to manage multiple tasks at one time. Organizes work to achieve department goals; determines the necessary sequence of activities needed to achieve goals.
Generates creative approaches to addressing problems and opportunities; makes sound decisions after reviewing all relevant information
The ability to focus on the desired results, make decisions in a timely manner.
Demonstrates the ability to use technology effectively and productively, continually updates skills and knowledge; addresses problems as they arise or seeks help as appropriate.
The ability to efficiently and accurately identify and locate relevant sources of information followed by a capacity to synthesize and analyze data of various complexity and importance.
The ability to understand a situation or problem by identifying patterns or connections between ideas or situations that are not obvious or related.
Follows detailed procedures and ensures accuracy in documentation and data
Minimum Requirements / Work Experience
1+ year ICD-9/CPT coding experience in an acute care hospital OR successful completion of an accredited coding program
Successful completion of ICD-10 CM (and PCS preferred) training.
Education / Licensure / Certification
CCS/CPC-H/RHIT/RHIA required or equivalent in work experience
