This is a Lead Coder position - It is on site position, remote work is not available.
ResponsibilitiesThe Lead Coder reports to the Director of HIM. Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appropriate documentation in the medical record when assigned or needed, using the appropriate coding classification system including ICD-CM/PCS, CPT, and HCPCS. Interim coding for inpatient accounts for month-end.
Demonstrates an expert knowledge of diagnosis and procedure coding, including sequencing of codes and present on admission assignment in conformance with ICDCM/PCS, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems.
All work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and Coding Clinic published by the American Hospital Association, the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS, NCCI edits, OSHPD.
Certain Clinical Documentation Improvement functions are expected in this position pertaining to all patients Case Mix. Extensive interaction with physicians and some responsibilities for physician education pertaining to principal diagnostic assignments, ICD-10-CM/PC. Analyzes medical records and identifies documentation deficiencies and verifies documentation supports diagnoses, procedures and treatment results. Serves as resource and subject matter expert for HIM Director, CBO, CFO and Physicians. Track ongoing issues with documentation and escalate to the HIM Director in a timely manner. This position works closely with the HIM Director with regards to DRG denials, concurrent coding, along with physician documentation improvement strategies.
QualificationsRequired to have associate’s degree in Health information technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 10CM/PCS coding and prospective payment) or Certificate of Completion of Coding from an AHIMA approved program.
Certified Coding Specialist (CCS) Credential/Licensure is required.
Extensive clinical background preferred for physician CDI and physician interaction.
Bachelor degree preferred.
Five years acute care coding inpatient and all categories of outpatient charts experienced is required.
Advanced medical terminology, pathophysiology, and pharmacology & Advance knowledge of CPT (including Evaluation and Management), ICD-10 diagnosis and procedural coding, and HCPCS coding.
Requires strong interpersonal communication, critical thinking, decisive judgment and the ability to work with minimal supervision.
3M knowledge is required
Hospital Description
Greater El Monte Community Hospital is a General Acute Care facility with 117 beds.
Our mission is to provide quality healthcare in a safe environment that is sensitive and supportive to the physical, emotional, spiritual and diverse multi-cultural needs of our patients and their loved ones. We advocate the preservation of human dignity in the delivery of our services and programs.
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