Coder Senior/Ambulatory Surgery

LCMC Health-posted 3 months ago
Intern
New Orleans, LA
501-1,000 employees
Hospitals
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The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.

  • Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work.
  • Assigns ICD-10, CPT and HCPCS codes to reflect services provided.
  • Implements knowledge of software programs related to EHR coding and billing.
  • Implements knowledge of federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility.
  • Ensures compliance with all laws, regulations and standards.
  • Follows compliance requirements for Medicare and/or other third-party payers.
  • Reviews coding claim edits and denials for assigned charts.
  • Processes coding claim edits, denials and appeals according to guidelines.
  • Meets productivity, accuracy competencies and learning milestones as outlined in the program.
  • Participates in the Coding Training Program.
  • Complies with the organization's compliance and privacy program and standards of conduct.
  • High School Diploma/GED or equivalent and 3 years of work experience, or Associate's and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.
  • Basic knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
  • Basic knowledge of medical terminology, anatomy and physiology, diagnostic, and procedural coding (PCS /CPT) and MS-DRG or APC grouping.
  • Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation.
  • Excellent oral, written and interpersonal communication skills.
  • Basic knowledge of documentation regulations for inpatient, outpatient or ambulatory records.
  • Associate's Degree in HIM or similar.
  • Completion of AHIMA Approved coding program or AAPC coding program.
  • Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA.
  • Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA.
  • Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM).
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