Corporate Coder, PRN

Community Hospital Corporation Plano , TX 75024

Posted 2 months ago

Community Hospital Corporation

PRN Corporate Coder

The PRN Corporate Coder, under the supervision of the Corporate Coding Manager, is responsible for the coding for all hospitals assigned by the manager. S/he will communicate and interact with the local facilities to provide the appropriate coding outcomes.

Must have 2+ years of coding experience in an acute and/or post-acute setting required, inpatient and/or outpatient along with knowledge of MD-DRG classification and reimbursement structures.

RHIA or RHIT certifications preferred, OR either CCS, CPC, CPC-H Coding Certification required.

Education & Experience

  • Associate's degree in Health Information Technology required.

  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred. American Health Information Management (AHIMA) Certified Coding Specialist (CCS) or American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H) Coding Certification required.

  • 2+ years of coding experience in an acute and/or post-acute setting required, inpatient and/or outpatient.

Skills and Knowledge

  • Knowledge of MS-DRG classification and reimbursement structures

  • Understanding of appropriate level of care orders

  • Working knowledge of Value Based Purchasing (VBP)

  • Proficient at writing AHIMA complaint physician queries

  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager

  • Proficient in researching and responding to Business Office questions and/or question by the payer

  • Ability to establish and maintain effective working relationships as required by the duties of the position

  • Ability to concentrate and accomplish tasks with explicit accuracy

  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency

  • Functional knowledge of facility EMR, encoder and other support software

Major Responsibilities

  • Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).

  • Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.

  • Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.

  • Goal: Average coding quality standard of =>95% accuracy per monitoring period.

  • Does not meet =<95%>

  • Meets => 95% accuracy

  • Exceeds =>95.01% accuracy

  • Coding Labor Productivity: Meets and/or exceeds CHC's coding productivity guidelines.

  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls

  • Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution

General Duties

  • Keeps current on federal and state regulations and healthcare law, including LTACH specific requirements, and best practices.

  • Supports the mission, vision and values of Community Hospital Corporation.

  • Performs other duties as required.

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Corporate Coder, PRN

Community Hospital Corporation