Capefearvalley
Clinical Coding Specialist I-Cape Fear Valley Urology, Full Time Days
Capefearvalley, Fayetteville, North Carolina, United States, 28305
Clinical Coding Specialist I-Cape Fear Valley Urology, Full Time Days page is loaded## Clinical Coding Specialist I-Cape Fear Valley Urology, Full Time Dayslocations:
Cape Fear Valley Urologytime type:
Full timeposted on:
Posted Todayjob requisition id:
37253**Facility**Cape Fear Valley Urology**Location**Fayetteville, North Carolina**Department**Cape Fear Valley Urology**Job Family**Clerical**Work Shift**Days (United States of America)**Summary**Reviews thoroughly the entire medical record to code specifically and accurately those conditions or diagnoses that were treated or affected the patient's plan of care. Verifies that each medical record contains appropriate documentation to justify the selected principal diagnosis to identify comorbid conditions, complications and procedures to use for DRG Assignment. Maintains an accurate case mix index from which administration makes critical management and strategic planning decisions.# **Major Job Functions**The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below.
In addition, specific functions may change from time to time:* Codes all diagnoses, treatments, and procedures according to the appropriate classification system for that category of patient encounter* Performs medical record abstracting of hospital admissions for reimbursement and statistical reporting* Verifies patient data while abstracting for accuracy and completeness of patient database* Refers to the Local Medical Review Policies, National Determination Coverage Policies and Local Determination Coverage Policies, as necessary, to ensure compliance with federal guidelines* Assesses OCE, NCCI and CCI edits, as necessary, to apply appropriate modifiers and make appropriate referrals to revenue departments, claim billers, senior coders and other hospital contacts for accurate claim submission* With full understanding of PPS regulations, the DRG classification systems (MS-DRG and APR-DRG), and CMS Patient Safety and Quality initiatives, communicates with physicians regarding the accuracy of principal and secondary diagnoses on the final code set, based on lab and other diagnostic findings, when the record may be subjected to QIO review due to vague attestation/documentation* Other duties as assigned# **Minimum Qualifications**The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:## **Education and Formal Training**:* High school diploma or equivalent required* Associates degree preferred## **Work Experience**:* Applicants without Associate degree requires 2 years of ICD-CM/CPT-4 coding experience## **Knowledge, Skills, and Abilities Required**:* Good data entry skills* Familiarity with medical record content and understanding of ICD-CM/CPT4 coding principals* Ability to assign accurate codes using good judgement within broad guidelines* Flexible and capable of intense concentration in a busy, noisy and crowded environment## **Physical Requirements**:* Near visual acuity* Motor coordination to operate computer* Most work is sedentary**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender IdentityFor exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually.
A private not-for-profit organization with over 7,000 employees and 850 physicians.
Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond.
Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region. #J-18808-Ljbffr
Cape Fear Valley Urologytime type:
Full timeposted on:
Posted Todayjob requisition id:
37253**Facility**Cape Fear Valley Urology**Location**Fayetteville, North Carolina**Department**Cape Fear Valley Urology**Job Family**Clerical**Work Shift**Days (United States of America)**Summary**Reviews thoroughly the entire medical record to code specifically and accurately those conditions or diagnoses that were treated or affected the patient's plan of care. Verifies that each medical record contains appropriate documentation to justify the selected principal diagnosis to identify comorbid conditions, complications and procedures to use for DRG Assignment. Maintains an accurate case mix index from which administration makes critical management and strategic planning decisions.# **Major Job Functions**The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below.
In addition, specific functions may change from time to time:* Codes all diagnoses, treatments, and procedures according to the appropriate classification system for that category of patient encounter* Performs medical record abstracting of hospital admissions for reimbursement and statistical reporting* Verifies patient data while abstracting for accuracy and completeness of patient database* Refers to the Local Medical Review Policies, National Determination Coverage Policies and Local Determination Coverage Policies, as necessary, to ensure compliance with federal guidelines* Assesses OCE, NCCI and CCI edits, as necessary, to apply appropriate modifiers and make appropriate referrals to revenue departments, claim billers, senior coders and other hospital contacts for accurate claim submission* With full understanding of PPS regulations, the DRG classification systems (MS-DRG and APR-DRG), and CMS Patient Safety and Quality initiatives, communicates with physicians regarding the accuracy of principal and secondary diagnoses on the final code set, based on lab and other diagnostic findings, when the record may be subjected to QIO review due to vague attestation/documentation* Other duties as assigned# **Minimum Qualifications**The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:## **Education and Formal Training**:* High school diploma or equivalent required* Associates degree preferred## **Work Experience**:* Applicants without Associate degree requires 2 years of ICD-CM/CPT-4 coding experience## **Knowledge, Skills, and Abilities Required**:* Good data entry skills* Familiarity with medical record content and understanding of ICD-CM/CPT4 coding principals* Ability to assign accurate codes using good judgement within broad guidelines* Flexible and capable of intense concentration in a busy, noisy and crowded environment## **Physical Requirements**:* Near visual acuity* Motor coordination to operate computer* Most work is sedentary**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender IdentityFor exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually.
A private not-for-profit organization with over 7,000 employees and 850 physicians.
Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond.
Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region. #J-18808-Ljbffr