Renown South Meadows Medical CenterSeptember 22, 2010 (last updated 30+ days ago)
Clinical Coding Specialist
Department: 400736 Health Information Mgt
Facility: Renown South Meadows Medical Center
Reno, NV
Schedule: Full Time - Eligible for Benefits
Shift: Day
Hours: 0800-1630
Job Details:
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Position Purpose:
The purpose of this position is to apply the appropriate diagnostic and procedure codes to individual patient health information for data retrieval, analysis, and claims processing.
Nature and Scope:
A clinical coding specialist reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. The coding specialist is responsible for translating diagnostic phrases utilized by healthcare providers into coded form. The translation process required interaction with the healthcare provider to ensure that the terms have been translated correctly. The coded information that is a product of the coding process is then utilized for reimbursement purposes, in the assessment of clinical care, to support medical research activity, and to support the identification of healthcare concerns critical to the public at large.
The clinical coding specialist must have a thorough understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. The coder must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded. The coding specialist works as a part of a team to achieve the best quality patient care.
This position is challenged to be aware of the continual changes in Federal and State regulations for prospective payment, keep informed of changes in treatment modes and new procedures, and to perform coding when physician documentation is vague or missing.
Incumbent must consistently meet or exceed productivity and quality standards as defined in the job description.
KNOWLEDGE, SKILLS & ABILITIES
1. Knowledge of ICD9-CM, CPT and HCPCS coding.
2. Conversion of written description to proper billing codes.
3. Ability to appeal CPT and ICD-9-CM for maximum reimbursement.
4. Comprehension of disease processes.
5. Ability to work well with others.
6. Medical Records content standards.
7. Philosophy consistent with Standards of Conduct.
This position does notprovide patient care.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications: Requirements - Required and/or Preferred
Education:
Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelor Degree in Health Information Management preferred.
Experience:
A minimum of one (1) year of previous inpatient and outpatient in an acute care facility is required but three (3) years of previous experience is preferred.
License (s):
None
Certification (s):
CCS, RHIT or RHIA required.
Computer / Typing:
Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Industries: Hospital / Healthcare
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