What are the responsibilities and job description for the HIM Coder I - Day position at WellSpan Health?
Schedule & Location:
Full-Time: 80 hours, Biweekly
Monday - Friday: 7am-3:30pm
Candidates must reside in Pennsylvania or Maryland
Remote work opportunity
Job Description:
Under the direct supervision of the Supervisor-Coding, collects, reviews, retrieves and codes data from electronic records and scanned physician orders on outpatient ancillary or emergency accounts, assigning the appropriate ICD-10-CM codes for the purposes of compliance with regulations, statistical compilation, and optimal reimbursement.
Duties and Responsibilities:
1. Reviews physician reports, radiology reports, physician orders and other documentation and assigns appropriate ICD-10 diagnoses codes following established organizational guidelines and to support medical necessity
2. Follows Official Guidelines for Coding and Reporting using encoding software to identify coding edits and reviews Epic documentation to institute appropriate course of action.
3. Works assigned Epic Account, Charge Review or Claim Edit work queues to identify and investigate Epic edits for coding errors, charge capture, or claim edits and reviews Epic documentation to institute appropriate course of action according with NCCI, LCD, OCE and CPT guidelines. Works with billing and ancillary departments to resolve billing edits and inquiries.
4. Abstracts clinical data, including Attending Physician, Surgeon, Consultant, and discharge disposition for accurate reporting and claim submission.
5. Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital.
Qualifications
- Minimum Experience:
- 6 - 12 months
- Minimum Education:
- High School or G.E.D.
- Required Certification:
- Certified Coding Associate (CCA); Certified Procedural Coder (CPC); Certified Coding Specialist (CCS); Registered Health Information Technician (RHIT); or Registered Health Information Administrator (RHIA)
- Skills:
- Knowledge of ICD-9-CM and ICD-10-CM; knowledge of medical terminology; basic computer skills
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