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Chesapeake Regional Medical Center

Coding Specialist HIM Senior

Chesapeake Regional Medical Center, Chesapeake, Virginia, United States, 23322

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*** Fully Remote Position ***SummaryThe Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.Essential Duties and ResponsibilitiesCode diagnostic and procedural information from the record using ICD and CPT/HCPCS classification systemsUtilize a computerized encoding system to facilitate accurate codingSequence diagnoses and procedures by following the ICD, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal Intermediary guidelinesWork cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure quality codingSelect the DRG for each inpatient discharge and APC for each outpatient visit, ensuring coding compliance based on approved coding guidelines and conventionsAbstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic informationEnter patient information into computerized inpatient and outpatient medical record databasesEnsure the accuracy and integrity of medical record abstract data prior to billing interface and claims submissionRoutinely code inpatient records to meet productivity and quality standards for inpatient codingCode outpatient, emergency department, and outpatient diagnostic records as determined by Coding Operations ManagerConsistently maintain established productivity requirements and maintain a 96% or greater accuracy rateCommunicate and advise the Patient Accounts on coding and DRG/APC assignment and submissionAssist the Coding Compliance Specialist and/or Coding Operations Manager as neededFill-in for the Coding Compliance Specialist and/or Coding Operations Manager as neededComplete other duties as assignedSummary of Other Job Duties and ExpectationsAdhere to the Service Excellence Standards and Expectations at Chesapeake Regional Medical CenterExhibit excellent customer relations to patients, visitors, physicians, and co-workersExhibit courteous communication skills and an ability to work with others, exercising good judgment in performance of job dutiesDemonstrate courtesy, compassion, and respect to others in adherence of the hospital's philosophy and policy for promoting positive work and customer environmentsWork as a team to continuously improve work qualityDemonstrate a commitment to flexible work schedules when it is necessary to ensure patient carePresent self in a positive manner as reflected by personal attire, etiquette and behaviorAttend required hospital-wide orientations, meetings, and in-servicesQualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential cation and ExperienceMinimum Required Education: Completion of a Health Information Management program with AHIMA approval status or coding program with AAPCPreferred Education: N/AExperience: 4+ years recent experience coding in an acute hospital setting required; coding ability will need to be demonstrated via a skills assessmentCertificates, Licenses, RegistrationsCertification in RHIA or RHIT and CCS or CIC is required. In addition, also prefer outpatient coding certifications through AHIMA and AAPC. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.