Health Information Coding Specialist - Newark, United States - LMHS

Description

Position SummaryTo work collaboratively between the facility coding department and the professional coding department, wherever the need may be.

In the professional coding department this role would work with physicians, practice managers, and offices; to capture complete and accurate documentation to assure that the appropriate diagnosis and procedure coding has been assigned; to communicate the principles and importance of documentation improvement to members of the professional corporation and other members of the healthcare team; and to serve as a resource on coding related issues.

In the facility coding department this role would assign facility charges using accurate ICD-10-CM and CPT/HCPCS codes to outpatient diagnosis and procedures.

This role would closely review each medical record in order to arrive at the most accurate and optimal Ambulatory Payment Classification (APC).

This role would consist of abstracting charts.

ResponsibilitiesCompletes review of charges assigned to patient accounts to ensure accuracy in CPT, HCPCS, ICD-10-CM, and DRG coding per coding guidelines.

Prompt physicians regarding missing, unclear, or conflicting medical record documentation and obtain additional documentation within the medical record when needed.

Collaborate with practice managers and/or staff regarding interaction with physicians on documentation and to resolve physician prompts in a timely manner.

Obtain outpatient charts and other necessary medical record information in a timely manner in order to code accounts within a reasonable time frame.

Closely monitor status of un-coded accounts to maintain unbilled receivables at lowest possible levels.
Identify trauma cases to be entered into Trauma Registry.

Participate in cross-departmental efforts to ensure billing and coding is efficient and effective in processing information to ensure successful billing of patient accounts.

Ensure conformity to government-required coding policies and guidelines.
RequirementsCurrent coding certification preferably through AAPC or AHIMA.Knowledge of software applications related to Coding (encoder/grouper) is necessary.
Excellent organizational, planning, interpersonal, written and oral communication skills are necessary. Ability to work both as a team player and independently.
Strong analytical skills.
Demonstrated aptitude for quantitative analysis and attention to detail.
Able to balance multiple priorities.
Knowledge and familiarity with personal computers.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations.

Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.