PB HIM Coding Specialist 2

St. Charles Health System • OR

118d • $25 - $37

About The Position

The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding.

Requirements

• High School diploma or GED required.
• Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required.
• Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H.
• Minimum of one year of hospital or professional coding experience with a Health Information Management focus.

Nice To Haves

• Familiarity with 3M encoder.
• Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC).

Responsibilities

• Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges.
• Utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers.
• Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate.
• Use available tools to check entries for accuracy.
• Captures the correct modifiers appropriate for CPT code assignment.
• Reconciles CCI and Medical Necessity edits.
• Maintains productivity and quality standards.
• Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues.
• Supports the vision, mission, and values of the organization in all respects.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients, and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.

Benefits

• Competitive Salary
• Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
• 403b with up to 6% match on Retirement Contributions
• Generous Earned Time Off
• Growth Opportunities within Healthcare

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED