Certified Coder

Winfield, KansaWinfield, KS
Onsite

About The Position

The Certified Coder is accountable for the conversion of diagnoses and treatment procedures into codes using an international classification of diseases. This role requires skill in the sequencing of diagnoses/procedures to optimize reimbursement and ensures that records are coded in an accurate and timely manner. William Newton Hospital’s Standards of Behavior are integral to this role, emphasizing Integrity, Patient-Centered care, Accountability, Compassion, and Excellence.

Requirements

  • High school graduate or equivalent.
  • Certified in medical Coding (CPC)
  • Knowledge of diagnosis/procedure coding in accordance with ICD-10-CM coding guidelines required.

Nice To Haves

  • Previous hospital experience as a Coder strongly preferred.

Responsibilities

  • Reviews chart thoroughly to ascertain all diagnoses/procedures.
  • Contacts responsible physician in a professional, tactful manner, if diagnosis is not available on chart or clarification of documentation is needed.
  • Ensures diagnoses and procedures on coding summary are supported by the physician’s documentation.
  • Ensures that codes are assigned correctly and sequenced appropriately as per coding guidelines and government regulations.
  • Refers chart to Director/Coding Supervisor, if there is a question regarding the diagnoses/codes.
  • Utilizes computerized coding/abstracting equipment.
  • Codes all diagnoses/procedures in accordance to ICD 10-CM/PCS coding principles, guidelines, and government regulations.
  • Meets quality standards of having 95% accuracy of principal diagnoses and procedures appropriately and/or correctly coded.
  • Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
  • Acts as a resource person to Hospital staff for coding and HIM issues.
  • Must be familiar with all charting and coding requirements.
  • Demonstrate knowledge of computer system.
  • Willingly accepts additional assignments.
  • Adheres to dress code, appearance is neat and clean.
  • Completes annual educational requirements.
  • Maintains regulatory requirements, including all state, federal and CMS regulations.
  • Maintains Hospital HIPAA requirements, policies and standards on patient confidentiality at all times.
  • Consistently completes and maintains assigned duties.
  • Attends Hospital and Department in-services as scheduled.
  • Attends HIM Department staff meetings as scheduled.
  • Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
  • Actively participates in the departments CQI activities.
  • Communicates the mission, vision, core values of the Hospital.
  • Ensures compliance with policies and procedures regarding department operations.
  • Complies with all organizational policies regarding ethical business practices.
  • Other duties as assigned
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