Certified Medical Coder in Centreville, IL at Prestige Staffing

Date Posted: 7/28/2019

Job Snapshot

Job Description

JobID: 19138

Job Summary:

  The Health Information Coder has accountability for all patients’ records to be coded, handling billing related issues and maintaining the departmental daily functions and responding to all employees and departmental problems in the absence of the director. Must have a good working knowledge of Federal (CMS), Compdata, State Regulations, The Joint Commission, HIPAA, ICD-9, ICD-10 coding, billing and AHIMA guidelines and standards                                               

Essential Functions and Duties:

 Adheres to all Federal (CMS), State regulations and coding guidelines.

Processes all patient visits to assure that all visit id is coded properly

In-patient coding and making sure the, correct DRG assignment are met

Assist with overseeing and training HIM coding staff

Attends Revenue Cycle Meetings

Maintains the CompData data report for ensuring all errors are correct

Maintain all departmental monthly and state reporting.

 Maintains and initiates employee counseling if necessary 

 Supervises and provides guidance to all Health Information employees in the absence of the director

 Works independently with all depts. through the hospital with specific emphasis with Ancillary Services and the Reimbursement Dept.

 Assists the Administrative Council in the absence of the director.

Position Qualifications:

  •   Associate degree with RHIT credentials
  • 3 years hospital experience
  • 5 years Coding and billing experience to include all patient types and payment aspects

      Knowledge of ICD-9 ICD-10, CPT-4, coding guidelines and rules

Preferred Skills and Abilities: 

  • 4-yrs Assistant RHIT Working  position
  • RHIT credentials
  • Train the trainer coding certification
  • Working knowledge of Paragon/McKesson computer
  • Working knowledge of (EHR) Paragon HPF/MPF-One Content
  • Fast paced multitasking individual
  • Experience all patient type coding/payors billing aspects
  • Knowledge of Patient's portals

Physical Demands:

  •  Frequent reaching for, handling and moving of medical records and manuals. 
  • Requires the ability to concentrate and to sit for long periods.
  • Fast-paced office environment with daily and weekly deadlines.

Function—Duties and Responsibilities:

  •  Supervise all functions of the Health Information Department in the absence of the director including and participating in scheduled meetings, ex: PCI, Health Information Committee etc.
  •  Assists the Medical Staff when necessary.
  • Participates with departmental and hospital wide in-service meetings.
  • Working knowledge of ICD-9-CM, ICD-10-CM, CPT4 coding guidelines and ensures the quality of coded data and verifies the DRG validation process for maximum reimbursements.
  • Daily admission coding for QA/UR certifications
  • Daily running reports and distribution to CFO, COO and QA/UR department.
  • Maintain hospital web based information associated with HIM reporting and updating.
  • Ensures the timely and accurate transmittal of charges, coding and billing information to Patient Accounts.
  • Daily review of DNFB and unbilled report for reimbursement.
  • Prepares daily admissions, coding and completes UR case mix scheme.
  • Assists with other clerical and electronic health record functions as needed within the department.
  • Prepares and monitors the statistical information for the end of month.
  • Interacts with the Director of Health Information, other departmental managers and assumes miscellaneous delegated managerial responsibilities.
  • Organizes and prioritize work time and process to complete assigned tasks in a timely manner.
  • Evaluates the quality and continuity of all aspects of the medical records.
  • Maintains confidentiality of   patients’ records.
  • Active listening and understanding   processes.
  • Follows the line of authority in reporting and dealing with problems.
  • Interacts with the Director concerns of training, hiring and firing.
  • Performs duties with minimum supervision and uses work time productively.
  • Reviews and audit records for completeness and established order of the electronic health records.
  • Accepts and acts upon constructive criticism to upgrade abilities.
  • Seeks clarifications of duties when indicated.
  • Offers assistance and/or instructions to co-workers.
  • Demonstrates professional manner in work setting.
  • Channels suggestions, criticism and questions to appropriate persons.
  • Updates master patient index if applicable within the electronic health record and computer system.
  • Receiving and routing incoming phone calls, communicates clearly and accurately by; telephone, intercom and written requisitions or work orders.
  • Assists and directs customers with release of information concerns and needs as applicable in conjunction with on sited contracted company (if applicable). 
  • Process requests if necessary per established ROI/HIPAA policies.
  • Updating and revisions of departmental policies
  • Safeguards the privacy of medical record information.
  • Promotes and maintains harmonious relationships (internally and externally) with the goal of achieving outstanding customer service.
  • Extends courtesy and consideration for others in interpersonal relationship.
  • Regularly attends, participates and /or provides input regarding department, annual in-services and Team meetings.
  • Communicates problems and other information as necessary to promote problem solving and goal achievement within the HIS Department.
  • Participates in the departmental cross-training, job shadowing, mentoring, and /or preceptor programs as directed.
  • Participates in and promotes performance/quality improvement initiatives and departmental competencies.