Lifespan
SUMMARY
Under the general supervision of the Health Information Coding Manager, reviews the inpatient medical record to assign appropriate codes in accordance with the ICD-10-CM/PCS Official Guidelines for Coding and Reporting. Determines appropriate MS DRGPR DRG assignment for optimal classification and accurate and compliant clinical reporting. Identifies and recommends physician queries when documentation in the chart is incomplete, ambiguous or unclear. Maintains and meets HIS quality and productivity standards.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES
Enters into a written Telecommuting Agreement with department management. The employee agrees to be accessible by telephone/e-mail during the agreed upon work schedule, maintain timely and accurate work records, and submit weekly work hours to management in accordance with Brown University Health's system wide written "Telecommuting" policy.
Reads and comprehends the inpatient medical record identifying all treated diagnoses and procedures reporting the correct code(s) adhering to rules set forth in "Official Coding Guidelines." Performs coding validation on codes from computer‑assisted and auto‑suggested tools.
Understand clinical documentation to recognize when a query to the physician is required.
Review internet resources for full understanding of procedures for coding accuracy.
Code straightforward inpatient medical records such as seen in community hospitals (excluding Level 1 trauma cases and complex surgical cases).
Navigate the electronic medical record and ensure documentation supports the codes selected for diagnoses, procedures, discharge disposition, and other required elements.
Add Present On Admission indicators and identify Hospital Acquired Condition and Patient Safety Indicator codes.
Respond timely to coding validator recommendations and prioritize high‑paying records.
Maintain credential and confidentiality of health information.
Assist other coders and perform related clerical duties as assigned.
MINIMUM QUALIFICATIONS BASIC KNOWLEDGE
Associate degree required; health information technology preferred (preferably with RHIT or RHIA) and AHIMA CCS Certified Coding Specialist credential or equivalent inpatient coding certification program.
Good writing skills to prepare compliant physician queries.
Computer literate; capable of researching internet resources to clarify diseases or procedures.
Ability to navigate the patient electronic medical record to access relevant data.
EXPERIENCE
Three to five years inpatient coding experience in a teaching or acute care hospital required.
Proven ability to understand the clinical content of a health record, trained in medical terminology, anatomy, and physiology.
Experience in preparing physician queries and using coding tools.
WORKING CONDITIONS Reads electronic medical records for the entire workday on dual computer monitors. Ability to sit for long periods, lift a minimum of 25 pounds, bend, stoop, stretch, and use step‑stools to file records. Work under stressful conditions to maintain accounts receivable days achieving productivity and accuracy.
INDEPENDENT ACTION Performs independently within the department's policies and practices. Refers specific complex problems to the supervisor when clarification is required.
SUPERVISORY RESPONSIBILITY None.
Pay Range $26.27-$43.34
EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903
Work Type Monday-Friday; weekends and holidays as scheduled
Work Shift Variable
Daily Hours 8 hours
Driving Required No
#J-18808-Ljbffr
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES
Enters into a written Telecommuting Agreement with department management. The employee agrees to be accessible by telephone/e-mail during the agreed upon work schedule, maintain timely and accurate work records, and submit weekly work hours to management in accordance with Brown University Health's system wide written "Telecommuting" policy.
Reads and comprehends the inpatient medical record identifying all treated diagnoses and procedures reporting the correct code(s) adhering to rules set forth in "Official Coding Guidelines." Performs coding validation on codes from computer‑assisted and auto‑suggested tools.
Understand clinical documentation to recognize when a query to the physician is required.
Review internet resources for full understanding of procedures for coding accuracy.
Code straightforward inpatient medical records such as seen in community hospitals (excluding Level 1 trauma cases and complex surgical cases).
Navigate the electronic medical record and ensure documentation supports the codes selected for diagnoses, procedures, discharge disposition, and other required elements.
Add Present On Admission indicators and identify Hospital Acquired Condition and Patient Safety Indicator codes.
Respond timely to coding validator recommendations and prioritize high‑paying records.
Maintain credential and confidentiality of health information.
Assist other coders and perform related clerical duties as assigned.
MINIMUM QUALIFICATIONS BASIC KNOWLEDGE
Associate degree required; health information technology preferred (preferably with RHIT or RHIA) and AHIMA CCS Certified Coding Specialist credential or equivalent inpatient coding certification program.
Good writing skills to prepare compliant physician queries.
Computer literate; capable of researching internet resources to clarify diseases or procedures.
Ability to navigate the patient electronic medical record to access relevant data.
EXPERIENCE
Three to five years inpatient coding experience in a teaching or acute care hospital required.
Proven ability to understand the clinical content of a health record, trained in medical terminology, anatomy, and physiology.
Experience in preparing physician queries and using coding tools.
WORKING CONDITIONS Reads electronic medical records for the entire workday on dual computer monitors. Ability to sit for long periods, lift a minimum of 25 pounds, bend, stoop, stretch, and use step‑stools to file records. Work under stressful conditions to maintain accounts receivable days achieving productivity and accuracy.
INDEPENDENT ACTION Performs independently within the department's policies and practices. Refers specific complex problems to the supervisor when clarification is required.
SUPERVISORY RESPONSIBILITY None.
Pay Range $26.27-$43.34
EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903
Work Type Monday-Friday; weekends and holidays as scheduled
Work Shift Variable
Daily Hours 8 hours
Driving Required No
#J-18808-Ljbffr