Medical Coder I & II
Location: Rutland Vermont
Description: Lighthouse Recruiting is employing Medical Coder I & II right now, this career will be placed in Vermont. Further informations about this career opportunity kindly read the description below. Under general supervision and according to established procedures, assigns diagnostic, procedural & E&M codes to medical record information. Codes charts under the ICD 9 CM and HCPCS System for statistical and ! DRG assignment purposes. Abstracts required data into hospital abstracting system and assigns charges based on documentation. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims.
ESSENTIAL FUNCTIONS
Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job.
Required Certifications: RHIT, RHIA, CCS or CCS-P AHIMA
Minimum Education
Equivalent to an Associate’s degree in medical information technology (with college level courses in anatomy, physiology, medical terminology, ICD 9 CM coding, and prospective payment) preferred.
College level course in Anatomy & Physiology required! .
Minimum Work Experience
Six to twelve months of! experience preferred.
Eligible for designation as a RHIT, RHIA, CCS-P or CCS preferred.
Recent health information, ER or hospital financial background.
Required Skills, Knowledge, and Abilities
Demonstrate moderate knowledge of basic computer skills.*
Demonstrate strong knowledge of Medical Terminology.*
- Requires Pre-Employment Testing
2. Accurately assign the levels of service for ED records.
3. Use documentation to determine level of acuity and risk of mortality within each general disease process; also identifies POA codes.
4. Identify, clarify, and code all diagnoses and procedures.
5. Comprehend the documentation and the needed documentation to promote being able to determine additional diagnoses/conditions included within the body of the record that can affect the severity and! risk of mortality and ROM.
6. Must understand and apply official coding guidelines as published in Coding Clinic and CPT Assistant. Must know ICD-9 codes in depth, including V-codes, E-codes and traditionally insignificant diagnosis codes.
7. Understands the clinical documentation and differentiates manifestations of disease process and other symptoms. Understanding disease etiologies enables the coder to identify deficient documentation and initiate queries to capture missed opportunities for reimbursement.
8. Identifies patterns or discrepancies in documentation
9. Optimize reimbursement for both Medicare and Medicaid, utilizing the appropriate grouper and selection of CC’s and major CC’s. Insure all steps are taken, i.e.; ventilator review, mortality review, and referring problematic cases to the Coding Coordinator.
10. Ability to learn and incorporate grouper and coding methodology changes rapidly. Coding changes occur at least annually
11. ! Communicates with physicians to promote understanding of rule changes a! nd to seek additional information which will impact the codes assigned and improve documentation.
12. Utilize the physician query process and identify patterns in the query process in order to resolve disruptions in the communication chain. Work with Clinical Documentation Specialist to improve documentation.
13. Contributes to on-going monitoring and internal and external auditing processes. May perform necessary audits.
14. Provides assistance in training of new employees.
15. May facilitate audits at the direction of the Chief Compliance Officer. Acts as subject matter expert to review records as needed, advise the other coders and capture data for collection purposes, pattern identification, report to documentation team and discuss with MDs, as necessary.
16. Understands medical necessity and how Interqual criteria might be used as a resource.
17. Identifies and reports issues/problems with coding software.
18. Ensure timeliness of data entry! , within 30 days of discharge/service for inpatients, ambulatory surgery and observation records, a target completion of 5 days from discharge for ED’s and within 3 days for ancillary accounts.
19. Assure timeliness & completeness of State Data Tape.
20. Reviews all complex RAC requests.
a. Check code accuracy.
b. Identify specific documentation that supports code.
21. Completes 10 credit hours of continuing education in ICD and CPT each year.
22. Attends all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job related hazards
23. Follows the hospital exposure control plans/blood borne and airborne pathogens.
24. Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
25. Promotes effective working relations and works effe! ctively as part of a department/unit team inter- and intradepartmentall! y to facilitate the department’s/unit’s ability to meet its goals and objectives.
26. Demonstrates Commitment to Patient Safety
a. Understands and follows the organization’s patient safety-related polices, procedures and protocols.
b. Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes.
c. Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk.
d. Report potential or actual patient safety concerns in a timely manner per the organization’s protocol.
27. Acts as a Corporate Citizen:
a. Acts with integrity by adhering to policies and compliance requirements consistently and openly reports concerns to Leadership without fear of retaliation.
b. Is aware of the legal, regulatory and accreditation requirements that apply to their area.
c. Proactively promotes a common well-! being of the organization by encouraging activities and behaviors and by being a role model in support of the organization’s mission, vision and values.
28. Other duties as assigned.
ADDITIONAL ESSENTIAL FUNCTIONS (LEVEL II)
29. Ensure compliance through proper coding and adherence to payer requirements.
30. Investigate/obtain clarification with payers for all issues pertaining to compliance or reimbursements and develop procedures to educate and promote consistency.
31. Provide coding education and compliance education for coding customers.
32. Assist with integration of compliance coding practices into provider routines.
33. Maintains line of communication with Compliance Officer to keep him/her informed of any potential risks for exposure related to coding and/or documentation practices.
34. Assures accuracy of State Data Tapes.
35. Develop and implement action following coding audits; e.g. praise, publicity, education, policy c! hanges, etc.
Shifts: Day
Salary: $20.57 - $3! 0.43, hourly
Relocation Assistance: Case by case basis
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About Us
Lighthouse Recruiting specializes in recruiting Laboratory Professionals for permanent positions. We have over 10 years of proven success placing job seekers in positions ranging from entry level Medical Technologists to seasoned Laboratory Directors . We recruit nationwide, with clients ranging from small hospitals in rural Maine to large reference laboratories on the shores of Hawaii and everything in between.
In addition to helping you find your next position, we can also assist you in writing a killer resume , acing your interview , and negotiating for a higher salary. The best part is that all of our services are complimentary to you! Call us today and ask to speak with one of our Laboratory Recruitment Specialists.
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Keywords: RHIT, RHIA, CCS-P, CCS, coder, medical #23579
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Lighthouse Recruiting.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Tue, 17 Sep 2013 03:56:04 GMT