South Shore Health
If you are an existing employee of South Shore Health then please apply through the internal career site.
Requisition Number:
R-21350
Facility:
LOC0014 - 549 Columbian Street, Weymouth, MA 02190
Department Name:
SHS Physician Services Admin
Status:
Full time
Budgeted Hours:
40
Shift:
Day (United States of America)
The Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co‑morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired Conditions) documented. The Professional Surgical Coder is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and proactively works with medical leadership to address concerning documentation trends. The position reports to the Billing and Coding Manager to ensure skills and knowledge remain in peak condition.
Compensation Pay Range:
$33.33 - $44.86
ESSENTIAL FUNCTIONS
Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. proper ICD‑10CM and CPT‑4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.
Codes 6‑9 records per hour, consistently with 95% accuracy.
Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting.
Identifies any and/or all complications or comorbidities.
Applies sequencing guidelines based on medical record information provided according to official coding rules.
Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis, as well as complications and/or comorbid conditions documented. Consults with the appropriate provider to clarify medical record information.
Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact.
Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD‑10‑CM and CPT‑4 codes.
Ensures accurate, correctly coded information is entered into Epic.
Answers provider/clinician questions regarding coding principles,
Assists with coding queries for claims appeals and resolution.
Referred ancillary department coding questions to Professional Coding Manager.
Remains abreast of developments in medical record technology by pursuing a program of professional growth and development: attend educational programs and meetings, review pertinent literature and so forth.
Utilizes professional affiliations, etc., in order to maintain current professional developments.
Attends all pertinent coding seminars and manager assigned training.
Utilizes all available hospital‑provided electronic resources.
Works collaboratively with appropriate team members to recommend strategies for process improvement.
Assists in responses to billing review requests.
Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA).
Meets coding, quality and productivity standards.
Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures.
JOB REQUIREMENTS Minimum Education:
Equivalent to an Associate's Degree in Medical Information Technology (with coursework in medical terminology, anatomy, physiology, disease processes, ICD‑10‑CM coding required; prospective payment preferred).
Minimum Work Experience:
Two to three (2‑3) years in a surgical practice preferred.
Required Certifications:
CPC – Certified Professional Coder
CCS‑P – Certified Coding Specialist – Physician Based
Required Additional Knowledge and Abilities:
Strong proficient computer and data entry skills to gather and interpret data.
Strong analytical skills to gather and interpret data.
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Requisition Number:
R-21350
Facility:
LOC0014 - 549 Columbian Street, Weymouth, MA 02190
Department Name:
SHS Physician Services Admin
Status:
Full time
Budgeted Hours:
40
Shift:
Day (United States of America)
The Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co‑morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired Conditions) documented. The Professional Surgical Coder is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and proactively works with medical leadership to address concerning documentation trends. The position reports to the Billing and Coding Manager to ensure skills and knowledge remain in peak condition.
Compensation Pay Range:
$33.33 - $44.86
ESSENTIAL FUNCTIONS
Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. proper ICD‑10CM and CPT‑4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.
Codes 6‑9 records per hour, consistently with 95% accuracy.
Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting.
Identifies any and/or all complications or comorbidities.
Applies sequencing guidelines based on medical record information provided according to official coding rules.
Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis, as well as complications and/or comorbid conditions documented. Consults with the appropriate provider to clarify medical record information.
Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact.
Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD‑10‑CM and CPT‑4 codes.
Ensures accurate, correctly coded information is entered into Epic.
Answers provider/clinician questions regarding coding principles,
Assists with coding queries for claims appeals and resolution.
Referred ancillary department coding questions to Professional Coding Manager.
Remains abreast of developments in medical record technology by pursuing a program of professional growth and development: attend educational programs and meetings, review pertinent literature and so forth.
Utilizes professional affiliations, etc., in order to maintain current professional developments.
Attends all pertinent coding seminars and manager assigned training.
Utilizes all available hospital‑provided electronic resources.
Works collaboratively with appropriate team members to recommend strategies for process improvement.
Assists in responses to billing review requests.
Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA).
Meets coding, quality and productivity standards.
Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures.
JOB REQUIREMENTS Minimum Education:
Equivalent to an Associate's Degree in Medical Information Technology (with coursework in medical terminology, anatomy, physiology, disease processes, ICD‑10‑CM coding required; prospective payment preferred).
Minimum Work Experience:
Two to three (2‑3) years in a surgical practice preferred.
Required Certifications:
CPC – Certified Professional Coder
CCS‑P – Certified Coding Specialist – Physician Based
Required Additional Knowledge and Abilities:
Strong proficient computer and data entry skills to gather and interpret data.
Strong analytical skills to gather and interpret data.
#J-18808-Ljbffr