Job Description Summary:
The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Coding - Hoag Clinic: In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes.
Skills:
Critical thinking, diversity, technical and equipment skills, interpersonal skills, job knowledge, oral/written communication, possible travel. Business acumen, customer satisfaction, innovation, trust and accountability.
Education:
High school diploma or equivalent required. Coding - Hoag Clinic: Required: Minimum 2+ years of work experience as a medical coder. Preferred: Coding experience in multiple specialties to include but are not limited to: OB/GYN, Urology, Oncology, Pain Management, Cardiology, General Surgery, Cardiothoracic, Neurosurgery, Neurology, and Orthopedics procedures. Knowledge of E/M coding. Certifications required: For Coding - Hoag Clinic: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist Physician-Based (CCS-P), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA).
Langauges:
English
Read
Skills:
Required
Additional
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