Medical Coder

Job Description

Big South Fork Medical Center, a 25-bed critical access hospital located in Oneida, Tennessee, is currently recruiting for a PRN Coder.

Inpatient, Observation, and Swing Bed coding experience is highly preferred.

Essential Duties and Responsibilities

Assign accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines.

Works closely with providers, and clinical and patient financial staff to ensure that coding is completed optimally while always following coding initiatives, guidelines, and regulatory requirements agencies.

Ensures that all records are complete and in the patient file before completion of coding; pursuing and supporting provider and clinical personnel in ensuring all appropriate documentation is compliant and in place to optimally code for services rendered.

Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions, and procedure

Responsible for coding one or more departments including but not limited to P/OP/Observations/ER/Ancillary.

Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.

Monitors assigned work queues to ensure all records are charged in a timely matter.

Works with physicians to interpret clinical dictation by applying medical terminology without altering the translation of the dictation.

Generates coding queries for clarification regarding physician documentation as needed.

Assists in the maintenance of hospital records/statistics as assigned; corrects data and verifies when appropriate.

Assist in the resolution of coding inquiries by carriers, vendors, patients or other related parties.

Consults manager or other available resources and works out difficult codes and/or coding problems.

Maintain knowledge of and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPAA rules and regulations, Medicare Secondary Payer Screening requirements, medical necessary screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.

Attend continuing education and coding education as scheduled. •Actively attend and participate in performance improvement teams, projects, and committee.

Perform other duties as assigned to meet the goals and objectives of the Company

This description is not designed to cover or contain an inclusive list of duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Education

High School Diploma/ GED Required

Bachelor's Preferred

Certificates and Licenses

AHIMA/AAPCCPC, CCA, CCS, RHIA or RHIT preferred

Knowledge Skills and Abilities

Minimum 1 (one) year of hospital acute care coding experience in one or more specialties

Experience in a hospital/medical clinic setting, with Rural Health coding/billing experience preferred•

Must possess in-depth knowledge of CPT, HCPCS, ICD-10-CM, and ICD-10-PCS

Thorough knowledge of the related prospective payment systems (PPS)•Ability to maintain productivity levels set forth by Hospital Systems while maintaining a 95% coding accuracy rate

Demonstrates the ability to maintain a low denial rate by Medicare/Medicaid and all insurance companies

Broad knowledge of ancillary testing (laboratory, X-ray, EKG)

Demonstrated understanding of payer relationships, requirements, and compliant billing practices and understanding of common medical terminology, anatomy, and physiology

Knowledge of pharmaceutical terminology, generic and trade names, and ICD coding and terminology

Demonstrates knowledge of HIPAA to provide confidential and secure patient health information

Must possess the ability to work without direct supervision in which to accomplish tasks in a timely manner

Demonstrates sound judgment and critical thinking skills to resolve issues •Ability to maintain composure and professionalism with dealing with conflict and /or difficult situations

Communicates effectively and professionally with medical staff, internal staff, and external sources

Experience with Electronic Health Records (EHR)and MS Office (Outlook, Word, and Excel)

Strong time management skills to balance coding responsibilities

Strong verbal and written communication skills Work Conditions

Position may require overtime, late nights, weekends, and holiday schedules

Requires sitting and concentrating for extended periods

Able to lift 20 lbs. independently or 50 with assistance

\nCompany Description

Big South Fork Medical Center is a 25-bed hospital proudly serving Scott County and the surrounding areas.

We offer care in comfortable and familiar surroundings, conveniently close to home.