- Under the general supervision of the Coding Supervisor, assists with the day-to-day operations of coding. Ensures quality of coding and data collection as well as compliance with coding rules and regulations. Assists with the department functions that relate to coding, reimbursement and denials associated with DRG issues. Meets organizational expectations as defined by the Employee Standards of Performance, hospital and department policies and procedures, and the hospital’s strategic goals. Verbalizes a clear understanding of continuous quality improvement and customer satisfaction measures and actively participates in improvement initiatives. Reviews patient records for appropriate documentation, accurately assigns ICD-10-CM codes for diagnoses and/or procedures and CPT codes for procedures on applicable records. Enters and or verifies appropriate abstract data elements. Meets productivity and quality standards for coding and abstracting. Applies knowledge of medical terminology, anatomy, disease processes & national coding guidelines when assigning codes. Utilizes the computerized encoder and abstracting system correctly and efficiently, including all available reference material. Performs coding related tasks such as completing physician queries and/or requests for additional documentation as needed. Clearly communicates problems/issues to supervisor that affect the revenue cycle. Attends and or participates in seminars, educational opportunities as assigned. Performs validation of DRG/Coding/Abstracting and reports results within timeframe specified as directed by supervisor. Performs coding/DRG/RAC appeals as they pertain to the coding, sequencing and billing of accounts appropriately to meet all federal, local, and state guidelines. Develops, maintains and monitors adherence to policies and procedures for coding, abstracting, interfaces and report generation. Monitors/evaluates/reports on functions related to reimbursement as required. Responds to inquiries related to these functions within timeframe specified. Takes corrective action when needed. Performs other duties as assigned or directed to ensure smooth operation of the organization. PREFERRED: Experience with the following software: 3M Encoder, McKesson’s Paragon and Horizon Patient Folder (HPF). Demonstrated success in coding complex records with consistent accuracy. Completion of basic ICD-10-CM and CPT coding course. Five (5) years of coding experience in an acute care hospital. Five (5) years of CPT coding experience in an acute care hospital. Associate’s degree or higher education preferred. REQUIRED: Knowledge of ICD-10-CM coding principles. Knowledge of anatomy, physiology, medical terminology, & disease processes. Knowledge of common drugs and indication of usage. Knowledge of ancillary testing (laboratory, x-ray, ekg, etc). Knowledge of prospective payment systems ( DRG/APC groupings). Ability to code all types of patient records, i.e. Inpatient, Observation, Amb. Surgery, Rehab, ER, and Outpatient Diagnostic. Basic knowledge of computers including Excel and Word. Good written and verbal communication skills. Ability to work under pressure and meet deadlines. Decision making, problem solving and analytical skills. High School Diploma or equivalency. Three (3) years of coding experience in an acute care hospital. Ability to meet and maintain facility quality and productivity expectations. Preferred: CCS, RHIT, or RHIA
About this company
At Slidell Memorial, we always welcome new team members who have a positive attitude, compassion and the desire to improve the quality of life in our community.
We are driven by a shared mission:
To improve the quality of life in our community.
As a 229-bed acute care community hospital located in the heart of Slidell, La., we provide access to the latest treatments and technology and expert physicians.
Location/Region: Slidell, LA (US)