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PB Coding Specialist II – Advanced Coding
St. Charles Health System
Location: Bend, Oregon
Work Setting: Hospital
Job Function: Coder
Job Type: Full-Time
DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including: prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding.
POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. 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:
Reads and interprets documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers.
Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.
Captures the correct modifiers appropriate for CPT code assignment.
Reconciles CCI and Medical Necessity edits.
Maintains productivity and quality standards.
Work closely with the Patient Financial Services department on: medical necessity issues, claim denials, charge master issues and charge auditor issues.
Supports the vision, mission and values of the organization in all respects.
Supports Value Improvement Practice (VIP- 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 violation 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.
- Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, CPC-H, CPC-A. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Must have a valid Oregon driver’s license and ability to meet SCHS driving requirements. Ability to travel to all SCHS worksites.
- Minimum of one year of hospital or professional coding experience with a Health Information Management focus.
- Familiarity with 3M encoder.
High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required.
We offer excellent medical, dental and vision plans, a retirement plan with a 6% match, a wellness program and MORE! Please click on the link to explore this position and benefits!
Posted: October 28, 2021 at 6:11 PM
Post ID: 63923