Professional Coder III - Inpatient/ Outpatient

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Thank you,

Human Resources

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/

license. You will be unable to edit/add/change your application once it is submitted.

Job Requisition ID:

R00037387

Job Category:

Clerical and Customer Service

Organization:

Rev Cycle - PB Surg Coding

Location/s:

Jackson Medical Mall

Job Title:

Professional Coder III - Inpatient/ Outpatient

Job Summary:

Collaborate as an advanced coder in the review of medical documentation provided by physicians and other health providers in order to obtain detailed information regarding disease, injuries, surgical operations, and other procedures and translate into alpha-numeric codes. To assign and sequence diagnostic and procedural codes as directed and in accordance with universally recognized coding systems.

Education & Experience

Associates degree or equivalent experience may be substituted for educational requirement. Expert computer skills. Five (5) years direct surgical coding experience.

Certifications, Licenses or Registration Required:

One of the following certifications is required:

• Registered Health Information Management Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist- Physician-Based (CCS-P)
• Certified Professional Coder (CPC)
• Any physician specialty certification from AAPC
• Radiology Coding Certification (RCC)

Knowledge, Skills & Abilities

Knowledge of electronic coding systems required. Knowledge of electronic health record. Knowledge of coding procedures and systems. Knowledge of medical terminology, anatomy and physiology. Expert knowledge in Microsoft Office Suite (Excel, PowerPoint, Word & Outlook). Excellent verbal and written communication skills. Ability to research coding questions and utilize UMMC's internal educational resources. Independent, focused and able to work remotely and follow written instructions. Ability to use coding guidelines to assign correct codes with minimal supervision. Equipped to work remotely to include hardware with high speed internet via cable and Windows 10 or most up-to-date version.

RESPONSIBILITIES:

• Reviews complex medical documentation at a highly skilled and proficient level from physicians and qualified health professionals in order to assign diagnoses and procedures codes utilizing ICD-10 CM/PCS, CPT, or other recognized coding systems. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations.

• Skillfully communicates with physicians and other qualified health professionals, both verbally and written, in a clear and concise manner, regarding clarification for unspecified or incomplete documentation in order to accurately assign code assignments and communicates appropriate coding guidelines. Ability to determine when it is appropriate to escalate an issue to senior team member, provider or administrator.

• Serves as subject matter expert and actively participates in the Coding Department meetings as a problem solver. Trends issues with denials for team education. Expertise in query development, guidelines, and standards

• Serves as Coding Department liaison for providers and administrative meetings as requested.

• Gathers and analyzes information pertinent to documentation and coding findings and outcomes.

• Conduct independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends.

• Collaborates with Coding Manager to review individual problematic cases and/or educational needs.

• Analyze research and trend denials. The ability to compose a professional appeal letter.

• Contribute to a positive working environment

• Maintains UMMC network security of personal health information of the medical record.

• Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

• Abide by UMMC Remote Coding Agreement

Environmental and Physical Demands:

Requires no exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, occasional climbing, no crawling, occasional crouching/stooping, occasional driving, no kneeling,occasional pushing/pulling, frequent reaching, frequent sitting,frequent standing,occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type:

Full time

FLSA Designation/Job Exempt:

No

Pay Class:

Hourly

FTE %:

100

Work Shift:

Benefits Eligibility:

Grant Funded:

Job Posting Date:

07/11/2024

Job Closing Date (open until filled if no date specified):