Coder/Abstractor II
Company: Valley Medical Center
Location: Renton
Posted on: January 14, 2021
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Job Description:
Job Description Health Information Management The position
description is a guide to the critical duties and essential
functions of the job, not an all-inclusive list of
responsibilities, qualifications, physical demands and work
environment conditions. Position descriptions are reviewed and
revised to meet the changing needs of the organization. TITLE:
Coder/Abstractor II JOB OVERVIEW: Responsible for coding and
abstracting based on documentation and following strict coding
guidelines within established productivity standards for all
accounts assigned. Responsible for following up on all accounts
unable to code due to missing/incomplete documentation or charges.
Responsible for attending meetings and in-services to enhance
coding knowledge, compliance skills, and maintenance of
credentials. AREA OF ASSIGNMENT: Health Information Management
HOURS OF WORK: Monday through Friday or assigned RESPONSIBLE TO:
Manager, Health Information Management (Coding) PREREQUISITES: *
High School Graduate or equivalent required. * Hospital Inpatient &
Outpatient Coder* Associate or Bachelor's Degree required; focus in
HIM preferred. * Professional Billing Coder* Associate or
Bachelor's Degree preferred * Certifications per area: * Hospital
Billing Inpatient: CCS, RHIT or RHIA required. * Hospital Billing
Outpatient: CCS, RHIT or RHIA required. * Professional Billing
Coder: CPC-A, CPC, CCS, CCS-P, RHIT, or RHIA required.* Minimum of
three years coding experience in a hospital or physician group
practice or other ambulatory care setting required. * Demonstrated
skill in typing and knowledge of computers. * Demonstrated ability
to use and understand the ICD-10 and CPT-4 coding methodologies. *
Demonstrated knowledge in anatomy, physiology, and medical
terminology. * Demonstrates ability to communicate in writing and
verbally in the English language in an effective manner. Effective
communication includes ability to spell accurately and write
legibly. QUALIFICATIONS: * * Demonstrated ability to maintain
records accurately and keep all records confidential. *
Demonstrates ability to research authoritative citations related to
coding, compliance, and additional reporting needs. * Demonstrated
ability to interact professionally on the phone and in person with
staff, doctors, and supporting departments. * Demonstrated ability
to learn tasks and handle responsibility. * Able to carry out
assignments independently, follow procedures and exercise good
judgment * Proficient data entry skills. * Demonstrated ability to
decipher handwritten notes. * Attention to detail, excellent
organizational and time management skills are essential * Ability
to use 3M Encoder, EPIC, Excel, Word, and ChartMaxx preferred. *
Knowledge of Medicare, Medicaid, and third-party coding and billing
requirements. * Regular and punctual attendance is a condition of
employment. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND
WORKING CONDITIONS: See Generic Job Description for Administrative
Partner. * * Physical requirements may include moderate lifting of
files. Must be able to bend, stoop, lift, reach, push and pull. *
Must be able to interact professionally and effectively with a wide
variety of people, including operations staff, providers, the
general public and departments in VMC. * Must be able to function
effectively in an environment with frequent interruptions and
multiple tasks. * Involves sitting at a keyboard at least 8 hours
per day. * Requires manual and finger dexterity and vision
corrected to normal range. * Requires ability to travel several
miles to various sites on any given day. PERFORMANCE
RESPONSIBILITIES: * * Generic Job Functions: See Generic Job
Description for Administrative Partner. * Essential
Responsibilities and Competencies: * Assures all completed accounts
are coded and sent electronically to patient accounts. * Abstracts
and assigns ICD-10, CPT or HCPCS codes for diagnoses and
procedures.* Hospital Inpatient Billing: Ability to use and
understand ICD-10-PCS for inpatient procedures. * Provides feedback
and training to clinic personnel to prevent future occurrences of
inappropriate coding. * Codes all records based on documentation,
being careful to follow strict coding guidelines, payer
regulations, and ethics. * Reviews coding-based edits, corrects
errors, and educates clinic and medical staff on appropriate use of
CPT, ICD-10, or HCPCS codes. * Reviews coding-based denials,
corrects errors, and educates clinic and revenue cycle staff on
appropriate coding procedures when services are denied due to
inappropriate diagnosis or procedure coding. * Meet coding
productivity and accuracy expectations. * Participates in coding
meetings to enhance knowledge and coding compliance skills. *
Communicates effectively with Patient Accounts in relationship to
coding or charging concerns and the submission of claims. *
Communicates effectively with various hospital departments to
resolve missing or inaccurate charges. * Assumes a leadership role
in the department and acts as a resource to other members of the
department. * Apprises management of concerns as appropriate,
including backlogs and time available for additional tasks. *
Maintains appropriate CEUs annually as required for certification.
* Maintains confidentiality of all accessible patient financial or
medical records information. * Demonstrates the awareness of the
importance of cost containment for the department. Provide
suggestions regarding process or quality improvement opportunities
to department manager. * Adheres to policies and procedures as
required by VMC. * Performs all job functions in a manner
consistent with Valley's expectations as defined in Service
Cultural Guidelines. * Other duties as assigned to facilitate
accurate, timely patient account management. Revised: 12/19 Grade:
OPEIU-N FLSA: NE CC: 8490,8531,8336 Job Qualifications:
PREREQUISITES: * High School Graduate or equivalent required. *
Hospital Inpatient & Outpatient Coder* Associate or Bachelor's
Degree required; focus in HIM preferred. * Professional Billing
Coder* Associate or Bachelor's Degree preferred * Certifications
per area: * Hospital Billing Inpatient: CCS, RHIT or RHIA required.
* Hospital Billing Outpatient: CCS, RHIT or RHIA required. *
Professional Billing Coder: CPC-A, CPC, CCS, CCS-P, RHIT, or RHIA
required.* Minimum of three years coding experience in a hospital
or physician group practice or other ambulatory care setting
required. * Demonstrated skill in typing and knowledge of
computers. * Demonstrated ability to use and understand the ICD-10
and CPT-4 coding methodologies. * Demonstrated knowledge in
anatomy, physiology, and medical terminology. * Demonstrates
ability to communicate in writing and verbally in the English
language in an effective manner. Effective communication includes
ability to spell accurately and write legibly. QUALIFICATIONS: * *
Demonstrated ability to maintain records accurately and keep all
records confidential. * Demonstrates ability to research
authoritative citations related to coding, compliance, and
additional reporting needs. * Demonstrated ability to interact
professionally on the phone and in person with staff, doctors, and
supporting departments. * Demonstrated ability to learn tasks and
handle responsibility. * Able to carry out assignments
independently, follow procedures and exercise good judgment *
Proficient data entry skills. * Demonstrated ability to decipher
handwritten notes. * Attention to detail, excellent organizational
and time management skills are essential * Ability to use 3M
Encoder, EPIC, Excel, Word, and ChartMaxx preferred. * Knowledge of
Medicare, Medicaid, and third-party coding and billing
requirements. * Regular and punctual attendance is a condition of
employment.
Keywords: Valley Medical Center, Renton , Coder/Abstractor II, Other , Renton, Washington
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