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ICD-10/PCS

coding guidelines. Performs compliant, non-leading queries as validated by clinical indicators. Uses clinical/coding knowledge to assist Coding Supervisor with writing appeals to support accurate coding and reimbursement. Coordinates final reporting of diagnoses with coding staff, providing clinical recommendations as needed. Ensures the appropriate dissemination and communication of all regulation, policy and guideline changes to affected personnel. Handling Difficult Issues Handles sensitive or difficult issues with confidence. Remains clear-headed and focused. Remains objective in the face of strong emotions. Identifies trends and patterns and takes initiative to correct or resolve concerns by working with appropriate organizational leadership. Queries physicians for clarification and specificity of documentation in accordance with hospital policy and the AHIMA Practice Briefs \"Managing an Effective Query Process\", \"Guidance for Clinical Documentation Improvement Programs\", and \"Guidelines for Achieving a Compliant Query Practice\". Encouraging Accountability Ensures that providers and employees understand their level of accountability, including what they are responsible to deliver and are expected to undertake. Consults a physician advisor when indicated by review results, query response, or to assist in appeal process while keeping Coding Supervisor informed. Provides formal and informal clinical documentation improvement presentations, overviews, information exchange and education to all levels of staff and management and other related parties. Relationship Building/Networking Builds rapport and develops alliances to achieve results. Adjust communication style to meet the needs of individuals at various organizational levels. Strong leadership and interpersonal skills. Develops and coordinates education and training programs regarding appropriate documentation required for complete and accurate coding and reporting. Serves as a resource for department managers, staff, physicians, and administration to obtain information or clarification on accurate and ethical reporting and documentation standards, guidelines, and regulatory requirements.

Knowledge, Skills & Abilities Light Work:

Frequent lifting and/or carrying of objects weighing up to 10 lbs. with a maximum lifting of 25. lbs. Five (5) years of clinical or coding experience in an acute care hospital. Working knowledge of ICD-9/ICD-10, MSDRGs, coding principles and guidelines or willingness to obtain. Knowledge of federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and reimbursement or willingness to obtain. Proficient in organizational skills and planning. Proficient in computer use, including data and spreadsheet analysis, presentation programs and word processing. Education Associate's Degree (Required) May substitute completion of a formal nursing program in lieu of an Associate's Degree. Credentials Registered Nurse (Required) Registered Nurse (Required) Registered Health Inform Tech (Required) Clin Coding Spec, Cert (Required) Cert Doc Improvement Prac (Required)

Work Schedule:

Days Status:

Full Time Regular 1.0

Location:

J D Anderson Location of Job:

WV:

Morgantown:

Mon Medical Center Talent Acquisition Specialist:

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Find & Apply For Medical Records / Health Information Technician Jobs in Morgantown, West Virginia

Clinical Data Specialist -- HEALTH INFORMATION MGMT -- 99 J D Anderson