Coder/Hosp/PRN

Redeemer Health•Abington Township, PA

About The Position

The Senior Coding Specialist assigns diagnostic and procedural codes in accordance with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations, and guidance from the American Hospital Association’s Coding Clinic and the AMA’s CPT Assistant. The role is responsible for meeting quality expectations for data abstraction, coding, APC assignment, and DRG assignment, as well as Redeemer Health’s productivity standards and hospital-specific coding policies and procedures. The Senior Coding Specialist conducts monthly data and coding quality assessments to determine whether coding accuracy meets the 95% standard. The role also assists the Coding Coordinator with developing ongoing educational programs for coding staff and with documentation improvement programs. The specialist is expected to stay current with healthcare technology and coding guidance through coding literature, seminars, in-services, internet research, and other educational resources. Duties support the Medical Center’s mission to provide high-quality patient care in an economically sound and efficient manner, reflecting Redeemer Health’s values in interactions and service.

Requirements

Certified Coding Specialist (CCS) credential required, or agreement to sit for and successfully pass the examination within one year of hire.
At least one year of coding experience using ICD-9-CM and CPT-4 in an acute care setting.
Strong background in anatomy, physiology, clinical medicine, and medical terminology.
Graduation from an accredited hospital-based coding program with certification of completion, or successful completion of college-credit coursework in medical terminology, anatomy and physiology, and pathophysiology/disease processes/pharmacology.
Ability to read and interpret medical terminology and apply coding skills using knowledge of anatomy, physiology, and disease processes.
Detail oriented with basic computer skills.

Nice To Haves

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential, or equivalent experience.
Experience with computerized encoders and abstracting systems.
Internal progression to Senior Coding Specialist I may occur with less than one year of coding experience when an internal candidate consistently meets the role’s quality and quantity standards and has obtained the CCS credential.

Responsibilities

Assign diagnostic and procedural codes using applicable coding guidelines, regulations, and authoritative coding publications.
Meet quality expectations and productivity standards for data abstraction, coding, APC assignment, and DRG assignment.
Follow hospital-specific coding policies and procedures.
Conduct monthly data and coding quality assessments to determine whether coding accuracy meets the 95% rate.
Assist the Coding Coordinator in developing ongoing educational programs for coding staff.
Assist the Coding Coordinator with documentation improvement programs.
Remain current with healthcare technology and coding guidance through literature, seminars, in-services, internet research, and other educational resources.
Perform duties in support of the Medical Center mission and Redeemer Health’s values.