Accountable for accurate and timely ICD-9-CM coding of diagnoses, ICD-9-CM and CPT procedure, and assignment of applicable DRG or APC in accordance with official coding standards, regulatory coding compliance guidelines, and CHN procedures and guidelines for all patient types and patient services.
Responsible for assisting the coordination and manager in ongoing follow-up on coding pre-bill exceptions and coding/billing edits to minimize the coding pre-bill amount on a continuous basis.
Code diagnoses and procedures within quality standards (95% accuracy).
Maintain productivity by patient status (# per hr).
Comprehensively review medical record documentation so that coding substantiates appropriate reimbursement of accounts receivables.
Utilize positive, professional, and assertive communication techniques to effectively convey medical record documentation needs to physicians so that coding guidelines are applied for appropriate reimbursement for services rendered.
Demonstrate knowledge and utilize computer systems: Meditech, Cerner, ImageNow, Dictaphone, JATA, Outlook Email, Internet, and 3M Online Coding References.
Perform Emergency Department coding.
Demonstrate knowledge of ICD-9 diagnosis and procedures, CPT Coding (Non-charge master driven (CDM)), E-Codes (Place of Occ w/Falls), and Procedure Coding List (HIM vs CDM) â�� No E/M.
Perform Clinical Referral Coding (CLI): physician order with diagnosis, medical necessity for test, and no CPT coding.
Apply critical thinking and knowledge skills to decision-making so that all applicable diagnoses, complications, and procedures are coded. Appropriate decision-making includes review of medical record documentation of diagnostic findings (labs, imaging, etc), care providersâ�� reports, and medication records, etc. Seeks additional documentation from physicians as needed to validate undocumented diagnoses applicable for coding.
Level 2 â�� Proficient (in addition to above duties)
Assist in ensuring coding quality is commensurate with corporate compliance.
Demonstrate knowledge of medical terminology: general medical, surgical and diagnostic terms, and procedures related to department.
Demonstrate ability to prioritize tasks according to urgency. Develop a routine that allows for maximum use of time. Exhibit ability to effectively multitask.
Level 3 â�� Subject Matter Expert (in addition to above duties)
Assist in the coordination of ongoing follow-up on coding pre-bill exceptions and coding/billing edits to minimize the coding pre-bill amount.
Assist the Department Manager/Director as requested in review and update of department functions and procedures.
Required: High School Diploma with college-level medical terminology, anatomy, and physiology.
Preferred: Associate or Bachelor Degree in Health Information Technology or Administration
Preferred: Registered Health Information Technician (RHIT)
Required: RHIA, RHIT, or CCS (Certified Coding Specialist)
Preferred: RHIA or RHIT
Required: Three (3) years in all patient types in hospital health information coding field.
Preferred: Four (4) years in hospital health information coding.
Required: Hospital ICD-9-CM (ICD-10) and CPT Coding and DRG and APC assignment for all inpatient and outpatient service lines, communication, interpersonal, team-work, self-motivation, detail oriented, and accountability. Ability to assist new employees in the application of ICD-9-CM and CPT coding.
Preferred: Training, Communication, interpersonal, team work, collaborative, critical-thinking and decision-making, detail-oriented, and schedule work assignments
Required: Official ICD-9-CM and CPT coding guidelines, Uniform Hospital Discharge Data Set (UHDDS) guidelines, Correct Coding Initiative. Medical terminology, anatomy & physiology, disease process, pharmacology, laboratory values benchmarks and pathology. Ability to read and understand the medical records and the hospital course. DRG and APC assignment.
Preferred: Required plus coding software and computer mainframe interfacing.
Required: Basic computer skills, ICD-9-CM and CPT coding, DRG and APC assignment.
Job: Medical Coding
Primary Location: Tucson, Arizona
Facility: Shared Services Center at Forbes
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.