HIM CERTIFIED CODING SPECIALIST

The Hospital Authority of Miller County•Colquitt, GA

2h•Onsite

About The Position

The HIM Certified Coding Specialist is accountable for the conversion of diagnoses and treatment procedures into codes using an international classification of diseases. This role requires skill in sequencing diagnoses/procedures to optimize reimbursement and ensures that records are coded accurately and timely, strictly adhering to the AHIMA Code of Ethics. The specialist performs all job responsibilities in alignment with the organization's mission and vision, maintains current knowledge through self-education and ongoing programs, attends staff meetings, and completes mandatory in-services and competency evaluations on time.

Requirements

High school graduate or equivalent.
One or more years of previous experience as a Medical Coder.
Knowledge of billing and coding in accordance with ICD-10-CM/PCS, HCPCS and CPT coding principles for Rural Health Clinics, Critical Access Hospitals, and skilled nursing facilities.
Ability to work with physicians in a collaborative manner.
Coding certification required (CPC, CCA, CCS, CCS-P, or equivalent).
Ability to communicate in English, both verbally and in writing.
Strong written and verbal skills.
Basic Computer Skills.
Near normal hearing: Hear alarms/telephone/normal speaking voice.
Near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
Good manual dexterity.
Good eye-hand foot coordination.
Ability to perform repetitive tasks/motion.

Nice To Haves

Additional languages preferred.

Responsibilities

Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases.
Sequencing of diagnoses/procedures to optimize reimbursement.
Ensures that records are coded in an accurate and timely manner, while strictly adhering to the AHIMA Code of Ethics.
Performs all job responsibilities in alignment with the mission and vision of the organization.
Performs other duties as required and completes all job functions as per departmental policies and procedures.
Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Wears protective clothing and equipment as appropriate.
Reviews chart thoroughly to ascertain all diagnoses/procedures.
Professional communication with colleagues in all forms.
Ensures coding aligns with documentation and physician queries are made for all necessary clarification.
Refers chart to director, if there is a question regarding the diagnoses/codes.
Utilizes coding/abstracting software.
Codes all diagnoses/procedures in accordance to ICD-10-CM/PCS, HCPCS, and CPT coding and payer guidelines.
Thoroughly reviews and addresses all CCI edits.
Meets quality standards of have 95% of principal and secondary diagnoses, procedures, and modifiers appropriately and/or correctly coded.
Reviews coding periodicals within seven (7) days of receipt.
Maintains CEU requirements of their certifying organization and Hospital Authority of Miller County.
Works and corrects all errors and denials on their coded encounters.
Notifies director whenever work is more than 48 hours behind work deadline.
Assists the director with state requirements and reports.
Ensures data quality and optimum reimbursement allowable under the federal and state payment system.
Acts as a resource person to hospital staff for coding.
Provides education regarding coding changes/issues.
Must be familiar with all charging and coding requirements.
Maintains a good working relationship with all departments and medical staff.
Must be familiar with the following manuals: Administration, Health Information Management Department, Fire Safety, Emergency Management and Safety.
Follows Code of Conduct policy.
Adheres to dress code; appearance is neat and clean.
Completes annual educational requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled; completes work within designated time.
Wears identification when on duty; uses computerized time clock system correctly.
Completes in-services and returns in a timely fashion.
Attends annual review and/or skills fair and department in-services, as scheduled.
Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission statement of the organization.
Comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures.
Participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
Use minimum necessary access to applicable ePHI systems to perform job function(s) only.