FTE866 Outpatient Coder – Internal Quality Review Educ Position Available In Brevard, Florida

FTE866 Outpatient Coder – Internal Quality Review Educ Health First Careers – 3.6

Melbourne, FL Job Details Full-time Estimated:

$43.3K – $53.2K a year 2 days ago Benefits Health insurance Qualifications Customer service Computer literacy AHIMA Clinic Mid-level Outpatient

ICD-9 ICD-10 CPT

coding Computer skills 2 years Documentation review Communication skills Full Job Description Job Requirements

POSITION SUMMARY

To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement.

PRIMARY ACCOUNTABILITIES

Quality/No Harm:

Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines protecting the confidentiality of the health record at all times and refuse to access protected health information not required for coding-related activities. Knowledge of the regulatory environment and legislation related to code assignment changes, local coverage determinations, and national coverage determinations. Ensures that all work areas and equipment, whether remote or on-site, are in safe and working condition. Maintains a clean, safe, and organized work atmosphere. Literacy and proficiency in computer technology and Health Information/Coding applications needed for departmental efficiency and job performance. Solid proficiency in computer assisted coding work flow processes with accurate execution and efficiency. Uphold regulatory compliance by consulting validated coding references for accurate code assignment and sequencing rules, i.e., ICD-9 /ICD-10 and CPT-4 Official Coding Guidelines, AMA Coding Clinics for

ICD-9/10, AMA

Coding Clinic for

HCPCS, AMA CPT

Assistant, National Correct Coding Initiative edits, National and Local Coverage Determinations, medical dictionary, pharmaceutical and drug references, and anatomy and physiology references, etc. Validate accuracy of codes assigned by the computer assisted coding tool, recognizing inappropriate application of clinical coding rules/guidelines and making revisions to the codes assigned based upon expert subject knowledge and provider documentation. Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record. Request clarification from provider when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element. Maintain coding accuracy as per departmental standards—approving, editing, and assigning

ICD9/ICD

10 and CPT-4 codes in the computer assisted coding application based on physician documentation in accordance to coding and compliance guidelines. Abstract pertinent information accurately and completely into the computer assisted coding application. Notification to medical records/registration personnel of any identified discrepancies of patient information in the medical record. Knowledge of structure and content of the electronic health record displaying ability and competency to navigate the EHR accurately and efficiently for data quality collection and code assignment. Attends monthly department meetings and bi-monthly coding roundtables. Attends departmental educational opportunities offered related to the appropriate field of coding expertise. Earn 5 CEU’s yearly related to coding profession. Review Coding Clinic for

ICD-9/ICD 10

quarterly updates and complete coding clinic quizzes.

Customer Experience:

Excellent communication, problem solving and critical thinking skills. Provide professional and courteous communication to customers, families, other associates, and leadership at all times. Provide professional, precise, and complete communication with physician office/registration staff regarding documentation concerns related to medical necessity issues identified as necessary to clarify documentation/coding related issues. Respond and relay documentation/coding issues and concerns from and to Health First departments and physician’s offices in a polite and considerate demeanor, utilizing the highest standard of customer services skills. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Always displays professionalism and respect; every person, every time.

Stewardship:

Maintains productivity standards according to departmental guidelines. Meets discharged not final coded (DNFC) departmental goals. Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle. Analyze and reply to denial management issues presented identifying documentation concerns and validating accuracy and completeness in code assignment. Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests when staffing needs arise. Accountable and dependable time and attendance record to ensure daily workflow and departmental productivity guidelines are met. Work Experience

QUALIFICATIONS REQUIRED

1 year outpatient coding experience with coding certification (AHIMA or AAPC) OR Non-certified with 2 years outpatient coding experience AND Successful completion of internal outpatient coding assessment with passing score of at least 75%.

PHYSICAL DEMANDS

Ability to sit at a computer for extended periods of time. Visual acuity. Ability to enter data using hand/wrist dexterity.

MENTAL DEMANDS

Utilize critical thinking skills and formulate logical decisions to apply clinical coding guidelines to health record documentation. Strong written and oral communication skills for professional interaction. Excellent computer and telephone skills. Ability to read and comprehend instructions, correspondence, memos, and electronic mail. Must be detail and accuracy oriented. Ability to coordinate and use logical reasoning to facilitate daily workflow assignments. Ability to multi-task. Ability to work independently maintaining focus on scope of work assigned. Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.