Munson Healthcare Coder Abstractor in Traverse City, Michigan
The coding professional is a critical member of the Revenue Cycle Team and is responsible for coding and abstracting patient visit data for performance improvement, statistical research, administrative and facility financial purposes.
Coding is performed using utilizing ICD10-CM, ICD10-PCS and CPT-4 classification systems and is subject to the Official Guidelines for Coding and Reporting, AHIMA Code of Ethics “Standards of Ethical Coding”, AHA Coding Clinic and technical rules outlined by hospital guidelines.
The coding professional works closely with the Coding Analyst, Clinical Documentation Integrity Specialists and the Regional Coding Operations Coordinator. Required qualities include teamwork, ability to code various patient types for a variety of Munson facilities, and flexibility in handling work assignments while maintaining productivity and quality standards. This position supports the timely and accurate submission of facility claims and works to achieve or exceed the established Accounts Receivable goals for the Department.
This position requires an Associates Degree in Health Information Technology or equivalent, or a Bachelors Degree in Health Information Management preferred.
Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
One to three years previous experience using ICD10-CM, ICD10 PCS and CPT-4 coding systems is required.
Demonstrated ability to meet productivity and quality standards is required.
Keyboard entry skills are required.
Previous abstracting experience is preferred.
Previous experience with a computerized encoder system is preferred.
- Reports to Regional Coding Operations Coordinator. Has constant working contact with Coding Analyst.
POPULATIONS SERVED COMPETENCIES, INCLUDING AGE OF PATIENTS SERVED_X_No direct clinical contact with patients
Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times.
Analyzes each medical record to determine which items will be coded and abstracted.
Accurately codes and abstracts inpatient, outpatient or emergency medical records, per work assignment, meeting expected productivity standards.
Assigns ICD10-CM diagnosis, ICD10-PCS procedure codes and CPT-4 procedures codes, per established national, departmental guidelines and AHIMA Code of Ethics.
Abstracts and/or edits medical record data as required by departmental procedure.
Assigns and enters charges for ER EM Levels, infusions, IM injections and procedures per departmental guidelines.
Performs review of Outpatient and ER diagnosis codes assigned for medical necessity as defined by payor policies and works to resolve any encounter that does not pass the medical necessity edits.
Communicates with physicians to request clarification and/or additional record information that will ensure correct code assignment, appropriate reimbursement and compliance with established guidelines. This applies to ICD10 and CPT coding.
Maintains organized system for personal coding reference material.
Participates in educational activities and maintains coding skills.
Performs other duties and responsibilities as assigned.