Medical Records Coder and Abstractor II

TriHealth • Cincinnati, OH

7h • Hybrid

About The Position

Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department.
Must reside in Ohio, Indiana, Kentucky, or Michigan. Will be required to come onsite once a quarter for any required department or TriHealth education.

Requirements

• Currently enrolled in an approved program for specific field of study. (Required)
• Proficiency in ICD and CPT coding
• DRG’s
• MSDRG’s
• POA indicators
• Post-acute transfer rules
• Disposition status
• Disease process and treatment
• Anatomy and medical terminology
• Clinical documentation requirements
• AHIMA
• RHIT - Registered Health Information Technician RHIT - Registered Health Information Technician Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required
• RHIA - Registered Health Information Administrator RHIA - Registered Health Information Administrator Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required or
• CCS - Certified Coding Specialist CCS-Certified Coding Specialist Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required or
• Other Certified Professional Coder (CPC) may be substituted at the hiring manager’s discretion. within 180 Days Required or
• CCA – Certified Coding Assoc CCA - Certified Coding Associate may be substituted at the hiring manager’s discretion. within 180 Days Required or

Responsibilities

• Independently and confidently delivers high quality results utilizing coding resources and provided education. Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG’s, and POA indicators.
• Consistently meets monthly productivity goals set by department. Productivity guidelines for activities involved in the coding process are as follows: 1.25 Med/Surg cases per hour, 2 observations per hour, 2.5-3 OB/NB cases per hour, 3 Outpatient Surgeries per hour, 12 ED's per hour, 34 Ancillaries 5=>150, 4=149-120, 3=119-100, 2=99-80, 1=<80
• Abstracts demographic and clinical data into hospital health data management systems. Discharges dispositions and other required data elements.
• Engaged team member. Highly regarded for their work and leadership. Problem solves and develops solutions when raising issues. Positive role model and has influence on peers. Displays confidence and initiative. Volunteers to be a part of educational training sessions, volunteers for minutes and reflections for meetings. Goes out of the way to be an interactive part of the coding team. Attends all team meetings, takes advantage of extra educational opportunities, student mentoring education, team member ambassador program, etc. as needed/requested. Completes all bright ideas and required trainings on time.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed