Senior Coder - Orthopedics - Full Time

LCMC Health

26d

About The Position

Your job is more than a job Why a Great Place to Work: You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary. Essential Function: The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information. Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Performs other duties as assigned by leadership. Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Requirements

Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program or Associate degree in health information management or related field or an equivalent combination of years of education and experience required
Minimum two (2) years of current complex outpatient and inpatient coding required
Certified Coding Associate (CCA) from American Health Information Management Associations (AHIMA) or Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC) combination from the American Academy of Professional Coders (AAPC)
Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS-DRG or APC grouping and components of charge description master for charging functions
Must possess knowledge of third-party reimbursement regulations and billing practices
Experience utilizing encoding/grouping software
Ability to use standard desktop and windows-based computer systems, including basic understanding of email, internet, and computer navigation
High ethical standards
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG, and APC coding principles and guidelines
Experience in ICD-10-CM/PCS coding and reimbursement training
Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider-based clinic encounters
Knowledge of hospital and professional coding including provider-based billing
Knowledge of documentation regulations of Joint Commission and CMS
Experience with concurrent coding reviews
Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices
Experience in assisting and identifying learning needs as well as providing training to coding staff
Strong analytical abilities and problem-solving skills
Excellent oral, written, and interpersonal communication skills
Ability to organize and set priorities to ensure objectives are met in a timely manner
Ability to adapt to change and handle challenges proactively
Ability to effectively collaborate with physicians and managerial staff at all levels

Nice To Haves

RHIA/ RHIT, Certified Coding Specialist (CCS) certification

Responsibilities

Applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.).
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Identifies concerns and notifies appropriate leadership for resolution.
Responsible for providing resolution to moderate to complex problems.
Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
Consistently meets or exceeds coding quality and productivity standards established by coding department.
Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
Performs other duties as assigned by leadership.
Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.