Coder/Abstractor II

Company: Valley Medical Center
Location: Renton
Posted on: January 14, 2021

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