Reviews medical records of all outpatient surgery/Wound Care (including other non-ancillary outpatient accounts) payer types to determine the principal diagnosis and procedure.
Utilizes query forms to consult with physician when documentation clarification is necessary
Following all regulatory guidelines, utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-9/10 PCS diagnoses and ICD-9/10 CPT procedures
Using the International Classification of Diseases (ICD9/10) 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 computer coding system
Abstracts and codes all required clinical and demographic data for reporting to CMS (Centers for Medicare and Medicaid Services), OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the computer abstracting system
Maintains current knowledge of the most recent ICD-9-CM/ICD-10 CM/PCS Official Guidelines for Coding and Reporting, the annual changes to the ICD9/10 diagnosis and procedure codes, the annual changes to the inpatient perspective payment system, CPT procedure codes, as well as the quarterly changes to the APC reimbursement system, and the annual changes to the reporting and reimbursement system
Demonstrates the ability to accurately and timely code all medical records, including Medicare, to expedite hospital reimbursement, clinical pertinence and indices
Experience & Qualifications:
3 years ICD-10 coding and APC reimbursement experience in an acute care hospital setting
Expert knowledge 3M APC software.
Experience with LCD's & NCD's
Experience with Wound Care Coding
Expert knowledge of ICD-10 CM & CPT coding and coding guidelines.
At least one: CCS, RHIT or RHIA required
MUST BE ON-SITE AT SADDLEBACK MEMORIAL MEDICAL CENTER IN LAGUNA HILLS FOR FIRST 90 DAYS FOR TRAINING. THIS POSITION WILL ALSO BE WORKING ON-SITE HALF TIME FOR WOUND ACCOUNTS AND MEETINGS WITH PHYSICIANS.
Memorialcare Health System