Clinical Coder Atrium Health - Trauma Registrar - Acute Care - REMOTE

American Addiction Centers•Charlotte, NC

3d•$25 - $38•Remote

About The Position

Department: 36200 Carolinas Medical Center - Trauma Services Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Position is for the Trauma Registry. This is a remote position. Starting hours are Mon-Thurs 6a-4:30p with flexibility increasing over time. Specialty Area: Trauma Additional Essential Functions: Downloads and analyzes daily reports using EPIC to identify patient cases that meet Trauma Registry inclusion criteria Creates/maintains daily log of identified patients, using Excel. Demonstrates technical competence in navigating external websites (EMS, ME, etc.) and abstracting required data. Completes concurrent and retrospective data abstraction of Trauma registry cases-including reconciling data as new information becomes available Supports data validation through bi-weekly individual validation reports as well as end of month reports. Supports data accuracy through required ACS inter-rater review of a minimum 10% of records abstracted. Supports NC/ACS required data transfers in accordance with submission deadlines. Maintains compliance with required departmental, NC, TQIP/ACS-sanctioned ongoing education. Attends departmental, regional, and state meetings as required Collaborates with members of the Trauma Program including PI Coordinators, Program Managers, Physician liaisons, etc. Participates in required ACS/NC trauma designation survey processes. Completes records of low complexity, ED discharged – 2 days LOS, scene calls only. Accuracy Metric: 100% review – 0-3 months employed 50% review – 3-6 months employed 25% review >= 6 months employed Pay Range $25.30 - $37.95 CCA or CPC-A required or must be obtained within one year. Current RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CIC preferred plus a passing score on the Coding test. Essential Functions Reviews low complexity medical records to identify the appropriate principal diagnosis and procedure and all other appropriate secondary diagnoses and procedures. Reviews charges including Evaluation and Management levels. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Abstracts coded data and other pertinent data in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Stays abreast of coding principles and regulatory guidelines related to outpatient coding. ysical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High School Diploma or GED required. Courses in Medical Terminology, Anatomy & Physiology and Pharmacology preferred. Coding Experience Preferred. CCA or CPC-A required or must be obtained within one year. Current RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CIC preferred plus a passing score on the Coding test. Proficient with Microsoft Office Applications required. #REMOTE #LI-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Requirements

High School Diploma or GED required.
CCA or CPC-A required or must be obtained within one year.
Proficient with Microsoft Office Applications required.

Nice To Haves

Courses in Medical Terminology, Anatomy & Physiology and Pharmacology preferred.
Coding Experience Preferred.
Current RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CIC preferred plus a passing score on the Coding test.

Responsibilities

Downloads and analyzes daily reports using EPIC to identify patient cases that meet Trauma Registry inclusion criteria
Creates/maintains daily log of identified patients, using Excel.
Demonstrates technical competence in navigating external websites (EMS, ME, etc.) and abstracting required data.
Completes concurrent and retrospective data abstraction of Trauma registry cases-including reconciling data as new information becomes available
Supports data validation through bi-weekly individual validation reports as well as end of month reports.
Supports data accuracy through required ACS inter-rater review of a minimum 10% of records abstracted.
Supports NC/ACS required data transfers in accordance with submission deadlines.
Maintains compliance with required departmental, NC, TQIP/ACS-sanctioned ongoing education.
Attends departmental, regional, and state meetings as required
Collaborates with members of the Trauma Program including PI Coordinators, Program Managers, Physician liaisons, etc.
Participates in required ACS/NC trauma designation survey processes.
Completes records of low complexity, ED discharged – 2 days LOS, scene calls only.
Reviews low complexity medical records to identify the appropriate principal diagnosis and procedure and all other appropriate secondary diagnoses and procedures.
Reviews charges including Evaluation and Management levels.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
Abstracts coded data and other pertinent data in the hospital electronic health record.
Ensures the accuracy of data input.
Meets established quality and productivity standards.
Stays abreast of coding principles and regulatory guidelines related to outpatient coding.

Benefits

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

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