Chaska Medical Plaza
3000 Hundertmark Road
Revenue Cycle Services
Purpose of Job
This position is responsible for coding diagnostic and operative/procedure information from the medical record using various classification systems (including but not limited to: ICD-10/ICD-9-CM/CPT4/HCPCS, SnoMed) per various payer requirements; legitimately and ethically optimize hospital payment based on Official Coding Guidelines and NCCI guidelines with physician agreement and consultation when appropriate. Helps assure that claims are compliant.
Applies appropriate codes according to established coding guidelines to facilitate statistical reporting and billing processes.
Reviews documentation to ensure it is complete and appropriate. If clarification needed for purposes of coding, billing, or compliance, generates and follows up on deficiencies created or memos sent.
Reviews DRG and APC assignment to assess appropriateness, and take action when indicated.
Reviews and follows up on NCCI edits when relevant to coder functions.
Reviews and follows up on medical necessity billing concerns, and other issues in the realm of coding when referred by billing personnel.
Performs other duties as assigned.
Minimum Education/Work Experience
Previous coding experience
Ability to work from home after meeting productivity/quality requirements
Knowledge of coding principals (ICD-10/ICD-9-CM/CPT4/HCPCS)
Knowledge of Anatomy/Pathophysiology/Pharmacology/Surgical procedures
Knowledge of hospital fee billing practices
Knowledge of basic computer functions and Microsoft Office applications
Ability to prioritize and organize responsibilities
Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
Click here to review the physical demands of this position
Join an organization that seeks to enhance the lifelong health of the people it serves with a culture that nurtures the whole person- mind, body and spirit. Ridgeview Medical Center will not discriminate against or harass any employee or applicant for employment because of race, color, religion, sex, pregnancy, citizenship, national origin, age, disability, military service, veteran status, genetic information, union membership, creed, marital status, familial status, sexual orientation, gender identity, status with regards to public assistance, membership in a local human rights commission, or any other category that may be protected by law.
Ridgeview Medical Center