Certified Surgery/Observation Coder

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• Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits.
• Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound). Principal Accountabilities
• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education
• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification
• Required: o RHIA, RHIT, or CCS (hospital) o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) Experience and Skills
• Hospital & Provider Based: o RHIA, RHIT, CCS – None.
• Provider Based: o CCS-P, CCA, or CPC – 3 years procedural coding required. Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds Role Specific Responsibilities o Follows all coding policies, procedures, standard operating procedures o Effectively uses encoding software and reference materials to assign appropriate codes. o Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines. o Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines o Reviews coding edits and accurately resolves so encounter can be sent to claims. o Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding. o Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity o Performs work que duties as assigned by Coding Lead/Supervisor/Manager. o Maintains coding quality and productivity standards o Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required. o Maintains required CEU’s Compensation (Commensurate with experience): $24.6 To $38.13 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits