What are the responsibilities and job description for the Professional Coder Specialty Services position at Franciscan Health?
The Professional Coder Specialty Services- Surgical reviews electronic medical record documentation and applies ICD and CPT codes per Official Coding Guidelines, with a specific focus on professional major surgical services. This position abstracts key data elements necessary for billing and data analysis.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Accurately reviews and codes patient records in the following clinical areas: professional major surgical services; ENT/Urology/Nephrology Surgical
Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT major procedures, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines
Evaluates appropriateness of diagnosis and procedure codes and modifiers utilized in response to Outpatient Code Editor and National Correct Coding Initiative edits.
Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses. Identifies when documentation relevant to the coding process is missing, lacks specificity or is inconsistent and take steps to obtain the documentation.
Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
Understands how diagnosis and procedure codes, and reimbursement methodologies are used to determine reimbursement, public reporting of outcomes, quality of patient care, financial modeling, strategic planning, and marketing.
Demonstrates a thorough knowledge of professional coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines
Notifies coding leadership of trends and topics for education and feedback to physicians and departments.
Assists with identification and implementation of process improvements according to industry best practice standards to make best use of resources, decrease costs, and improve coding services across the corporation
QUALIFICATIONS
High School Diploma - Required
Associate's Degree - Preferred
4 Years Coding Experience - Required
CPC, or CCS - Required
RHIT/RHIA - Preferred
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Salary : $20 - $30
