Coding Specialist - Wyoming, United States - University of Michigan Health-West

University of Michigan Health-West

Verified Company

Wyoming, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Coding Specialist - Wound Center - Wound Clinic

Days 36hrs/wk.

Requisition #:
req7985

Shift:
Days

FTE status: 0.9

On-call: No

Weekends:
No

General Summary:

Under direction of the Wound Center Director, the Coding Specialist - Wound Center (WC) is responsible for accurately coding outpatient conditions and procedures for accurate interfacing from iHeal (WC EMR) to the hospital's EPIC system.

The Coding Specialist - Wound Center reviews clinical documentation and diagnostic results to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting.

This role is also responsible for other administrative tasks directly linked to coding under the discretion of the Wound Center Director.

Requirements:

High school diploma or equivalent
Coding certificate preferred
Medical Assistant experience preferred (MA)
Previous EMR/Coding software and computer experience.
Ability to understand and explain CPT, ICD10 and HCPCS code books and Wound Center Revenue Cycle Management guidelines.
Data entry
Analyzing information
Strong written and oral communication skills
Ability to contribute to teambased projects and initiatives
Strong customer service
Problem solving skills
Strong understanding of medical terminology

Essential Functions and Responsibilities:

Coder

Code all Wound Centerbased diagnoses, treatments, and procedures by translating physician and nursing documentation according to the appropriate classification system for iHeal to EPIC interfacing.
Maintains appropriate coding queries process as appropriate and manually scans documents through the interface, as needed.
Maintain knowledge and adherence to Healogics, UMH-West compliance regulations and other applicable governing bodies.
Work with Patient Financial Services, Fiscal Services, Information Services, Transcription, Health Information Management and CVS department management and staff regarding correct reporting, coding, and charge entry practices
Maintain exceptional coding accuracy based on hospital and regulatory expectations.
Assist providers and other WC care professionals with questions regarding level of detail for diagnostic entries, according to the guidelines.
Foster respect for patient privacy by maintaining confidentiality in all phases of the work.
Participate in departmental quality standards, including auditing WC charges and related issues.
Performs other coding duties as assigned.

These may include but are not limited to:

Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by leadership.

Administrative Specialist

Facilitates the department's prior authorization process. Collaborates with peers as appropriate to ensure timeliness for patient access.
Operates as the point person for product ordering, including specialty items to ensure optimal billing and reimbursement is achieved.
Collaborates with clinical team to order and manage supply of skin substitute products, beginning with benefit verification process.
Maintains active patient list reporting to ensure data integrity and appropriate patient status.
Other duties as assigned.