Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
Vision: Be the first choice for healthcare and employment within our community
Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community
General Summary:The quality of work produced by the Coding Specialist is critical to the success of FTMC as the coded data represents the organization for a variety of purposes. Translation of clinical documentation into coded data must be an accurate and complete representation of the patient's episode of care, which affects quality scores, hospital, and physician profiling, appropriate reimbursement, statistical data reporting and mitigation of compliance risks. The purpose of the Coder I position is to assign diagnosis and/ or procedure codes to patient accounts utilizing ICD and/or CPT/HCPCS classification systems, as appropriate. The primary focus of this position is to code based on skill set and knowledge including demonstrated proficiency in all the following work types: OP Ancillary, Recurring encounters, Ambulatory Hospital based Clinics, Emergency encounters, Same day Surgery and Observations. Other responsibilities also include abstracting of accounts, resolving claim edits, researching coding issues, querying the physician, and being an active participant of the coding team to ensure the highest quality of coded data.
Essential Functions: Utilizes the Encoding system, coding manuals and/or reference materials for proper assignment of all ICD-10-CM/PCS and CPT/HCPCS codes which are supported by provider documentation. Appropriately queries provider for clarification or additional documentation needed to support diagnosis/procedure especially for ER APR-DRG weight assignment. Ability to review the medical record and charges for accuracy and completeness. Understand and possess ability to batch charge enter charges as appropriate. Applies uniform hospital discharge data-set definitions to select the principal diagnosis, principal procedure, and other diagnosis and procedures that require coding. Applies sequencing guidelines to coded data according to official coding rules, for patient types. Abstracts all data required by the hospital wide information system and department policies. Meets quality standards. Follows ethical coding practices and regulatory requirements mandated by the Federal Government, regulatory agencies, and internal policies. Actively participates in external/internal review activities and departmental education regarding coding and reimbursement. Remain current and apply regulatory/coding changes as appropriate. Ability to abstract clinical and demographic information accurately. Remains abreast of developments in medical record technology by pursing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature. Meets departmental productivity standards. Maintains efficient and appropriate balance between coding and support functions. Submits weekly productivity reports to supervisor in a timely manner. Resolves coding-related edits, responds to inquiries regarding coding and reimbursement activities, in a timely manner. Collects/tracks data for follow-up and education to insure timely coding of accounts and reporting of information, as appropriate. Promotes and maintains a close working relationship with coding, Revenue Cycle, clinical departments, and medical staff to effectively meet goals and objectives. Participates in departmental cross training, quality reviews, and project activities as assigned.