Direct Jobs
Pay range: $27.20 - $40.79 per hour, based on experience.
This full-time position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program.
ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION Title:
HB Coding Specialist III - Inpatient coder
Reports to:
Coding Supervisor
Department:
Health Information Management
Date Last Reviewed:
May 2024
Company Vision and Mission Our Vision:
Creating America's healthiest community, together
Our Mission:
In the spirit of love and compassion, better health, better care, better value
Our Values:
Accountability, Caring, and Teamwork
Position Overview The
Hospital Coding Specialist III
at St. Charles Health System is responsible for coding/abstracting inpatient records. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers.
Essential Functions and Duties
Advanced skills in reading and interpreting documents in the medical record to identify and code all relevant ICD-10-CM diagnoses and ICD-10 PCS procedures using an encoder program, following National and SCHS coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment.
Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.
Selects principal diagnoses and procedures in accordance with coding and UHDDS standards, CMS requirements, and prospective payment systems. Ensures that the correct MS DRG is assigned for proper hospital reimbursement. Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting purposes.
Queries physicians for clarification when conflicting or ambiguous information is present by following appropriate SCHS procedures.
Assigns Present on Admission (POA) indicator accurately for each diagnosis coded, per CMS requirements published in official ICD-CM coding guidelines, and if uncertain query the physician.
Accurately assigns discharge disposition code, paying particular attention to post-transfer program DRGs for proper hospital reimbursement.
Plays an active role with the CDI (Clinical Documentation Improvement) team ensuring chart documentation meets the necessary requirements for accurate coding and reimbursement.
Maintains productivity and quality standards.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: High School diploma or GED. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self‑study course from AHIMA or AAPC.
Preferred: N/A
Licensure / Certification / Registration
Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC.
Preferred: Risk Adjustment Coding (microcredential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA or AAPC.
Experience
Required: Three years of hospital coding experience.
Preferred: Inpatient coding experience. Familiarity with 3M encoder. Familiarity with CAC (computer assisted coding).
Personal Protective Equipment Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Additional Position Information
Knowledge of ICD-10 CM and PCS code assignment.
Knowledge of MS DRG and APR DRG reimbursement methodology.
Knowledge of Present on Admission “POA” assignment.
Knowledge of CPT-4 code assignment.
Knowledge of CCI and MN edits and APC grouping.
Knowledge of modifier and revenue code assignment.
Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities.
Communication / Interpersonal Skills
Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction.
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees.
Strong team working and collaborative skills.
Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills.
Ability to work in a fast paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times.
Ability to effectively reach consensus with a diverse population with differing needs.
Organizational Skills
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills.
Strong analytical, problem solving and decision-making skills.
Language Skills Read, write, speak, and understand English.
Computer Skills
Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office.
Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBLs.
Physical Requirements
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Schedule Weekly Hours: 40
Caregiver Type: Regular
Shift: First Shift (United States of America)
Shift Start & End Time: Flexible between the hours of 6a - 6p
Is Exempt Position? No
Job Family SPECIALIST HIM
Scheduled Days of the Week Monday-Friday
Shift Start & End Time Flexible between the hours of 6a - 6p
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This full-time position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program.
ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION Title:
HB Coding Specialist III - Inpatient coder
Reports to:
Coding Supervisor
Department:
Health Information Management
Date Last Reviewed:
May 2024
Company Vision and Mission Our Vision:
Creating America's healthiest community, together
Our Mission:
In the spirit of love and compassion, better health, better care, better value
Our Values:
Accountability, Caring, and Teamwork
Position Overview The
Hospital Coding Specialist III
at St. Charles Health System is responsible for coding/abstracting inpatient records. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers.
Essential Functions and Duties
Advanced skills in reading and interpreting documents in the medical record to identify and code all relevant ICD-10-CM diagnoses and ICD-10 PCS procedures using an encoder program, following National and SCHS coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment.
Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.
Selects principal diagnoses and procedures in accordance with coding and UHDDS standards, CMS requirements, and prospective payment systems. Ensures that the correct MS DRG is assigned for proper hospital reimbursement. Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting purposes.
Queries physicians for clarification when conflicting or ambiguous information is present by following appropriate SCHS procedures.
Assigns Present on Admission (POA) indicator accurately for each diagnosis coded, per CMS requirements published in official ICD-CM coding guidelines, and if uncertain query the physician.
Accurately assigns discharge disposition code, paying particular attention to post-transfer program DRGs for proper hospital reimbursement.
Plays an active role with the CDI (Clinical Documentation Improvement) team ensuring chart documentation meets the necessary requirements for accurate coding and reimbursement.
Maintains productivity and quality standards.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: High School diploma or GED. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self‑study course from AHIMA or AAPC.
Preferred: N/A
Licensure / Certification / Registration
Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC.
Preferred: Risk Adjustment Coding (microcredential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA or AAPC.
Experience
Required: Three years of hospital coding experience.
Preferred: Inpatient coding experience. Familiarity with 3M encoder. Familiarity with CAC (computer assisted coding).
Personal Protective Equipment Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Additional Position Information
Knowledge of ICD-10 CM and PCS code assignment.
Knowledge of MS DRG and APR DRG reimbursement methodology.
Knowledge of Present on Admission “POA” assignment.
Knowledge of CPT-4 code assignment.
Knowledge of CCI and MN edits and APC grouping.
Knowledge of modifier and revenue code assignment.
Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities.
Communication / Interpersonal Skills
Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction.
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees.
Strong team working and collaborative skills.
Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills.
Ability to work in a fast paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times.
Ability to effectively reach consensus with a diverse population with differing needs.
Organizational Skills
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills.
Strong analytical, problem solving and decision-making skills.
Language Skills Read, write, speak, and understand English.
Computer Skills
Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office.
Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBLs.
Physical Requirements
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Schedule Weekly Hours: 40
Caregiver Type: Regular
Shift: First Shift (United States of America)
Shift Start & End Time: Flexible between the hours of 6a - 6p
Is Exempt Position? No
Job Family SPECIALIST HIM
Scheduled Days of the Week Monday-Friday
Shift Start & End Time Flexible between the hours of 6a - 6p
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