HB/HIM Outpatient Coding Specialist 2

Typical pay range: $24.81 - $37.21 per hour, based on experience.

This position is eligible to work remotely in a position approved by St. Charles. Please refer to the list. If you do not reside in the state listed, please do not apply for this opening.

In addition, the role is eligible to receive a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) package.

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                     HB Coding Specialist II – Advanced Coding       

REPORTS TO POSITION:        HIM Coding Supervisor

DEPARTMENT:                       Health Information Management

DATE LAST REVIEWED:         July 3, 2020

OUR VISION:               Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:             Accountability, Caring and Teamwork

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.

ESSENTIAL FUNCTIONS AND DUTIES:

Reads and interprets documents contained in the medical record to identify and code all relevant ICD-10-CM diagnoses, CPT-4 and HCPC level II procedures by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment.

Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.

Captures the correct modifiers and revenue codes appropriate for CPT code assignment.

Calculates APC reimbursement.

Reconciles CCI and Medical Necessity edits.

Works closely with the Patient Financial Services department on: combining accounts, medical necessity issues, claim denials, charge master issues and charge auditor issues.

Maintains productivity and quality standards.

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.

EDUCATION:

• : High School diploma or GED. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC.

Preferred: N/A 

LICENSURE/CERTIFICATION/REGISTRATION:

• : 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. 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.

EXPERIENCE:

Required:  Minimum of one year of hospital coding experience with a Health Information Management focus.

Preferred:  Familiarity with 3M encoder.

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Skills:

Position Specific:

Knowledge of ICD-10 CM

Knowledge of CPT-4 code assignment

Knowledge of CCI and MN edits and APC grouping.

Knowledge of modifier and revenue code assignment.

Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities.

Communication/Interpersonal

Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction.

Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. 

Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees.

Strong team working and collaborative skills.

Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills.

Ability to work in a fast paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times.

Ability to effectively reach consensus with a diverse population with differing needs.

Organizational

Ability to multi-task and work independently. 

Attention to detail.

Excellent organizational skills, written and oral communication and customer service skills.

Strong analytical, problem solving and decision making skills.

Language Skills: 

Read, write, speak and understand English.

Computer Skills:

Intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office.

Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL’s.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.

Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.

Rarely (10%):  Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.

Never (0%):  Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%):  Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

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