What are the responsibilities and job description for the Coder position at Fairview Range?
Overview:
This is an on-site position with the potential to transition into remote work based on experience and competency.
Responsibilities/Job Description:
Analyze clinical documentation and assign resource-appropriate reimbursement levels through the use of appropriate codes for diagnosis, procedures and other demographic data. Identify and resolve clinical documentation and charge capture data discrepancies to improve the quality of clinical documentation, severity and reimbursement levels assigned, integrity of data reported and the timeliness of the revenue cycle process. Abstract clinical data to be used by internal users or external agencies. Enter or correct charge capture data for certain populations. Support the goals of Range Regional Health Services.
This is an on-site position with the potential to transition into remote work based on experience and competency.
- Reviews Health Records.
- Applies knowledge of disease and surgical process while reviewing and analyzing health record documentation for adequacy and quality content to support codes applied to diagnoses, procedures and services.
- Clarifies conflicting or ambiguous health record information or charges for services provided with originating source.
- Codes visit/encounter utilizing current regulatory guidelines (UHDDS, DRG, APC, CMS, global surgical package, fee schedule) in order to assign diagnosis and procedure codes in order to obtain optimal reimbursement.
- Utilizes current Official coding guidelines (Inpatient and Outpatient) along with Coding Clinic publication in order to assign and properly sequence codes which have bearing on current episode of care.
- Apply knowledge of CPT guidelines, format and notes along with CPT Assistant to correctly assign and sequence codes for all services and procedures performed during visit/encounter.
- Monitors and completes work queues as assigned. Identify and communicates delays or patters that are identified. Performs other duties as requested.
AAPC or AHIMA Certification in Coding (CSS, CSS-P, CPC), RHIT, or RHIA is preferred.
Applicants without certification or a degree must have at a minimum:
- Successful completion (or be in the process of completing) a Coding Specialty Program.
- Experience within the last two (2) years in ICD-10-CM and CPT coding in an acute or ambulatory care facility.
- AAPC or AHIMA certification must be obtained with two (2) years of hire.