HIM/MEDICAL RECORDS CODER

UHS•Bowling Green, KY

8d•Onsite

About The Position

This opportunity is for a part-time at 24 hours per week Medical Records Coder/Technician and offers part-time benefits and a day schedule. About UHS: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. About Rivendell: Rivendell Behavioral Health Hospital is a 125 inpatient, Joint Commission accredited hospital. We are located on a 48 acre private campus in the heart of Bowling Green, KY. At Rivendell Behavioral Health Hospital, children who are in crisis receive psychiatric care. Teens suffering from depression, disabling anxiety, feelings of hopelessness or suicide can learn new ways to cope. Teens and adults suffering from chemical dependency and substance abuse can get help.

Requirements

High school graduate.
Able to follow clear instructions.
Excellent phone and communication skills.
Good organizational skills.
Ability to keep work area neat and well organized.
Maintain confidentiality of the patient.
Through knowledge of ICD-10-CM coding and medical terminology.

Nice To Haves

Higher education in Health Information Management or related field.
Two years working in a Health Information Management Department of a facility providing direct patient care.
RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), or CPC-H (Certified Professional Coder Hospital).

Responsibilities

Codes discharged charts using ICD-10-CM diagnosis codes
Enters correct ICD-10-CM codes in MedSeries after reviewing the chart.
Follows UHS policy and standards of ethical coding.
Uses current ICD-10-CM Official Guidelines for Coding and Reporting.
Queries appropriately the physicians/APRNs on a form, as needed.
Uses 3M Encoder, Coding Clinic, and the Q&A section on the UHS HIM page for references.
Attends UHS webinars on coding.
Copying and sending release of information requests within time requirements per HIM policy
Checks mail, fax machine, e-mail, and HIM voice mail daily for release of information requests making sure the form meets State, Federal, and HIPAA confidentiality requirements.
Informs HIM Director of any unusual requests, insurance audits, subpoenas/court orders.
Copies chart and logs in MedSeries.
Places “what was sent” and “date sent” on the release of information form.
Answers phone within three rings for the Health Information Department
Handles requests per phone appropriately.
Copies and sends out urgent requests.
Files reports in the chart
Places outsourced transcription daily on the correct units “to be filed” locations.
Files discharged reports daily.
Files charts and keeps permanent file room organized daily
Files charts appropriately using terminal digit; responsible for filing all complete charts in permanent file.
Uses outguide/sign-out system appropriately and follows up on signed out charts a minimum of once per week.
Shifts charts in permanent file room as needed. Evaluate file room biweekly for shifting. Purge file room if needed.
Retrieves discharged charts form the unit daily
Retrieves discharged charts (from prior day) from the units before 12 noon daily.
Informs HIM Director of missing charts daily.
Assists staff in retrieving charts for completion of deficiencies, audits, or surveys
Keeps incomplete chart area/dictation area neat and organized.
Files charts to the correct location after use.
Performs discharge chart analysis within established time frame
Puts chart in the correct discharge order.
Tags discharge chart deficiencies.
Follows policy regarding chart completion.
Uses the correct patient label on each page of the medical record.
Re-analyzes charts daily to determine if deficiencies have been completed. Assists with physician/APRN follow-up if a deficient chart is not being completed timely.
Fills inhouse binder back up with tabs and takes back binders to the units daily.
Maintains discharge summary log daily.
Notifies Health Information Management Director of supplies needed, functions not completed within time constraints, and any problems or unresolved issues.
Serves as a back-up to Health Information Management Director.
Other duties as assigned by the Health Information Director.
Will adhere to all safety policies and safe work practice.
Will attend hospital safety trainings.
Will adhere to all hospital policies and procedures.
Will report all accidents immediately.