Senior HB Coder - Remote

LCMC Health-posted 2 months ago
Remote • New Orleans, LA
501-1,000 employees
Hospitals
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The Coding Senior will be responsible for applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of inpatient 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.
  • Required: High School Diploma/GED or equivalent and 3 years of work experience, or Associate's and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.
  • Preferred: Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program.
  • Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
  • Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
  • Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)
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