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Memorial Health Care Center Professional Coder in Owosso, Michigan

JOB SUMMARY
Under the direct supervision of Director of Health Information Management, impacts reimbursement through the determination of the most accurate and optimal CPT and ICD-10 coding for all professional services. This position is responsible for applying knowledge of ICD-10-CM, CPT and HCPCS codes using appropriate reference materials. Responsible for abstracting information from the patient’s medical record and consulting with providers and staff regarding concerns about diagnoses and procedures to ensure that all relevant information is properly coded. Assists Providers and office staff with education relative to medical record documentation and coding guidelines on an ongoing basis. Understands patient registration process, basic reimbursement guidelines, data entry, data collection, computer applications and corporate compliance. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care.

JOB RELATIONSHIPS

Responsible To: Director of Health Information Management
Workers Supervised: None
Inter-Relationships: Providers, Office Staff, Billing Department, Practice Management, Internal and External Customers

PRIMARY JOB RESPONSIBILITIES

  • Analyze and verify assigned encounter data for hospital inpatient, hospital outpatient, Nursing Home and office services.

  • Maintains productivity levels as established by the Director of Health Information Management with a minimum 98% accuracy rate.

  • Queries physicians and other healthcare providers when code assignments are not straight forward or documentation is inadequate, ambiguous, or unclear for coding and legal health record purposes.

  • Communicates in a positive, cooperative, timely and accurate manner with providers, office staff and others on all missing or unclear information, including; diagnoses, procedure codes, ACUITY levels, test resulting and appropriate signatures for chart completion.

  • Actively contributes to the morale and teamwork of the staff and facility and alwayspresenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal.

  • Completes assigned tasks in appropriate timeframe and adjusts to increased workload.

  • Creates and prints required reports.

  • Keeps abreast of coding guidelines and reporting requirements.

  • Demonstrates adequate use of multiple appropriate software applications.

  • Promotes protection of patient confidentiality in all phases of work.

  • Abides by the Standards of Ethical Coding, maintains certification and continuing education requirements under the appropriate credentialing program.

  • Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior.

  • Assists with training/orientation of new employees and students.

  • Other duties as assigned.

JOB SPECIFICATIONS EDUCATION

  • High School diploma or GED required.

  • Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) preferred or obtained within 1 (one) year of hire.

EXPERIENCE

  • Minimum of 1 (one) year of coding experience and 1 (one) year of medical office experience preferred.

  • Working knowledge of ICD-10-CM, CPT, HCPCS coding, anatomy and physiology, keyboarding and computer skills.

  • Competency in the use of computer applications.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

  • Able to travel independently throughout all Memorial Healthcare facilities.

  • Small motor skills required for operating modern computer, office, and telephone equipment as utilized by Memorial Healthcare (MHC).

ESSENTIAL TECHNICAL ABILITIES

  • Proficiency using modern office, computer and telephone equipment as used by Memorial Healthcare.

ESSENTIAL MENTAL ABILITIES

  • Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.

  • Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.

ESSENTIAL SENSORY REQUIREMENTS

  • Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.

  • Able to hear for work-related purposes.

INTERPERSONAL SKILLS

  • Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.

  • Required to remain calm when adversity is encountered.

  • Open, honest, and tactful communication skills.

  • Ability to work as a team member in all activities.

  • Positive, cooperative and motivated attitude.

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