HOSPITAL CODER, CODING & CDI

Company: Mercyhealth
Location: Janesville
Posted on: June 23, 2022

Job Description:

Department/Skill highlights + Hospital Coder, Health Information Management, Janesville, Days, 80 hrs/ 2 wks + Remote work schedule opportunities available Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our partners a best place to work. Our unique workplace Culture of Excellence is built upon: + Employee engagement, empowerment and growth + Teamwork toward our common goal - providing exceptional health care services with a passion for making lives better + An atmosphere of caring and quality that cascades throughout the organization Essential duties and Responsibilities + Review medical record documentation and, in accordance with all applicable coding guidelines, assign ICD-10 CM, ICD-10 PCS, CPT and HCPC's diagnosis and procedure codes. Enter modifiers, POA indicators, anesthesia information and other required abstracting elements, as appropriate for the type of record being coded. + Utilize computer assisted coding technology, encoder and grouper to code and complete accounts. Review and validate all codes on the code summary list. + Code high dollar records first, and then code the oldest in order by dollar amount. IP: > $60,000; OPS/OBSV: > $15,000; ED/Ancillary: > $4,000 + Work and resolve Optum and Epic edits and coding validation checks at the time of coding, preventing claim edits and denials. + Query providers to ensure documentation supports appropriate code assignment, reimbursement, present on admission and quality measures (i.e. SOI, ROM, HAC's, PSI's, etc.). + Work with CDI Specialists and review CDI notes to reconcile all DRG's and ensure that all quality related workflows, such as mortality, HAC and PSI reviews, are followed. + Cross-train in coding and abstracting functions, as appropriate, for all record types and associated functions. + Validate ED/UC Physician CPT- E/M procedure code assignments. Verify and/or enter specific charges and billing information (e.g. Rev codes, OBSV charges), as required. + Focus on one or more of the following areas: + Code and abstract one or more OP coding types: ED, UC, observation, outpatient surgery and/or ancillary/recurring patient classes. + Code and abstract IP accounts of lower complexity and shorter lengths of stay. Education and Experience + Bachelor's degree in Health Information Management, Associate's degree in Health Information Technology or graduate of a Medical Coding Specialist program preferred. + Hospital inpatient, outpatient, ED, and/or professional fee coding experience preferred. Certifications/Licensure RHIA, RHIT, CCS, CCS-P, CPC-H, CPC, COC, CEDC, graduate of a Medical Coding Specialist program, or other applicable coding certification, preferred. Special Physical Demands The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. While performing the duties of this job, the employee is regularly required to sit and use hands to reach, finger, handle, or feel. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision. Keywords + Health Information Management + Coder + Certified Coder + Coding Technician + Hospital Coder + Facility Coder + Outpatient Coder + Inpatient Coder + Emergency Coder + Remote + Work from Home + Hybrid Remote

Keywords: Mercyhealth, Janesville , HOSPITAL CODER, CODING & CDI, Healthcare , Janesville, Wisconsin