HIM Coding Specialist

The HIM Coding Specialist Analyst performs coding and abstracting for inpatient and outpatient medical records accurately and timely to optimize reimbursement for all payer classes. Responsible for scanning medical records and filling in for the HIM Technician during their absence. Normally scheduled Monday through Friday.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Supports and promotes an environment conducive with the Mission, Vision, and Values of the hospital.
• Analyses patients’ records for principle and secondary diagnosis, procedures and assigns the appropriate codes per established guidelines.
• Abstract any data required for the patients’ record.
• Ensures timely data entry of codes.
• Facilitates flow of medical record data to assure accurate and prompt reimbursement, data collection and clinical data analysis.
• Confers with physicians regarding diagnoses and procedures to ensure accuracy.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Ensures that documentation is appropriate to meet medical necessity guidelines.
• Ensures productivity and quality of coding the records.
• Uses reference materials (coding books and 3M encoder) appropriately and efficiently.
• Recognizes, interprets, and evaluates inconsistencies and discrepancies in medical record documentation and reports them appropriately.
• Organizes and prioritizes assigned work and schedules time to accommodate work demands and turn-around time requirements.
• Maintain orderly condition of assigned work area.
• Maintain confidentiality of all patients, hospital, and physical related information
• Follows departmental procedures for archiving inactive records; pulls charts, prepares for, and completes the approved destruction process of these charts.
• Analyzes requests for medical information, evaluates legality of releases, abstracts pertinent portions of medical records, copies, mails and/or releases in accordance with departmental policies to safeguard patient confidentiality.
• Communicate with other clinical team members regarding documentation.
• Is knowledgeable of general hospital and department specific policies and procedures including release of information, amendment of medical records and other legal requirements.
• Other duties may be assigned and are subject to change with or without prior notice.

OTHER RESPONSIBILITIES

• Answer the telephone and perform routine clerical tasks.
• Completes assigned daily duties.
• Accepts reassignment to other units if necessary.
• Follows expected work practices.
• Displays thoroughness and accuracy of work.
• Works in a safe manner, including reporting unsafe equipment or environment.
• Well organized, accepts assignments willingly and accomplishes them quickly.
• Anticipates problems and suggests solutions.
• Helps with not specifically assigned duties.
• Works steadily and always keeps busy.
• Maintain knowledge and skills necessary to communicate and interact with patients, visitors, and staff in the following age groups: Infant, Pediatric/adolescent, Adult, and Geriatric.
• Ability to work well with a diverse work team.
• Ability to work under pressure with time constraints.
• Ability to concentrate.
• Ability to work independently with minimal supervision.
• Ability to work well with numbers.
• Good mental health and emotional maturity
• Maintain appearance appropriate for job duties.

(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and really additional responsibilities may be assigned, as required, by Hillsboro Health.)

SUPERVISORY RESPONSIBILITIES

None

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalency with college courses in medical terminology, anatomy, and coding
• Minimum 1 year experience in Medical Coding field, knowledge of reimbursement systems and Medicare regulations
• Excellent customer services skills
• Two-year degree in medical coding with a RHIA, RHIT, CCS or CPC
• Must maintain an average accuracy of 97% or above.

CERTIFICATES, LICENSES, REGISTRATIONS

None

PHYSICAL DEMANDS

• Prolonged and extensive sitting
• Constantly required to use arms, hands, and fingers for repetitive movement - typing, and occasional grasping, pulling, and pushing
• Occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision and the ability to adjust focus.

WORK ENVIRONMENT

• Work is sedentary.
• Duties are performed within comfortable climate-controlled surroundings.
• Frequently interacts with Medical Staff and Nursing Personnel

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows how to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.

BENEFITS

Please use the link below to visit our website for a list of benefits offered.

Staff Benefits - Hillsboro Health