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Outpatient Coder

Southwest Mississippi Regional Medical Center

Job Description:

Under general supervision of the Director of Health Information Management, the HIM Coder uses the health information process to support timely coding.  The HIM Coder is responsible for timely review of patient records in order to identify an appropriate selection of codes which accurately reflect the reason for admission, extent of care received and level of severity of illness. Will also be responsible for insuring that all data elements required for federal and state reporting are collected and included in the patient’s demographic record.  All work is carried out in accordance with the departments approved policies and procedures.

Required Qualifications:

-AHIMA or AAPC Certification (RHIA, RHIT, CCS, CPC)

-1 year outpatient coding experience

Instructions for Resume Submission:

Please submit resumes to destini.miller@smrmc.com

Apply Online: https://bit.ly/2Z1iCoc 

IP Coder III

CoxHealth

Job Description:

The Inpatient Coder III position is the senior expert Inpatient DRG coder responsible for timely and accurate coding of the more complicated inpatient records and has been trained to code all Inpatient patient records. The Inpatient Coder III position has expert knowledge on all coding guidelines and MS-DRG reimbursement. As an expert DRG Coder, this position will also act as a mentor to less experienced coders. The Inpatient Coder III is responsible for reviewing and analyzing documentation present in the medical record for Inpatient cases to assign ICD 10 CM diagnoses and ICD 10 PCS procedures based on the documentation in the medical record. The Inpatient Coder III has expert knowledge on all coding guidelines and MS-DRG reimbursement and Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association.

Education

Required: High School Diploma or Equivalent

Required: Completion of Coding Program

Experience

Required: 5+ years Hospital Inpatient Coding Experience

Skills

  • Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate reimbursement.
  • Expert knowledge in ICD-10-CM and ICD-10-PCS (Inpatient Coding) classification systems
  • Expert knowledge of DRG reimbursement.
  • Expert knowledge of POA and HAC assignments.
  • Ability to work under high production standards and minimal supervision due to tenure in Inpatient coding.
  • Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively.
  • Demonstrates competency with use of computers and various computer programs.
  • Visual acuity necessary to read and decipher handwriting and electronic documentation.

Licensure/Certification/Registration

Required: AHIMA Approved Credential: RHIA, RHIT, or CCS AND AAPC Approved Credential: CIC AND CoxHealth Internal Inpatient Coding Test score of 95% or greater to be hired
Preferred: CCS credential

Apply Online: https://careers-coxhealth.hctsportals.com/jobs/490231-ip-coder-iii?q=IP%20coder

Corporate CDM

Monroe Regional Hospital

Job Description:

Will report to the corporate Revenue Integrity supervisor, manage and coordinate with various CDM and other departments at the hospitals with Boa Vida Healthcare, report data to management, manage/keep up with CMS updates

Required Qualifications:

Knowledge of CPT codes and outpatient procedure coding

Preferred Qualifications:

RHIT

Compensation/Benefits:

Salary based on experience; Health, vision, dental, 401K

Instructions for Resume Submission:

Please send resumes to Nicole Retherford at nretherford@boavidahealthcare.com with subject Corporate CDM Position in the subject.

Apply by 1/9/2021

Certified Coding Specialist

Trilogy Revenue Cycle Solutions

Introduction:

Responsibilities of the Certified Coding Specialist include reviewing medical documentation provided by physicians and other health providers in order to obtain detailed information regarding disease, injuries, surgical operations, and other procedures to translate into numeric medical codes.  In general, the Certified Coding Specialist assigns and sequences diagnostic and procedural codes in accordance with universally recognized coding systems.  This position codes all types of records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association (AHIMA) Coding Ethics, as well as all American Hospital Association (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications and other payer guidelines.

Job Description:

  • Assigns and ensures correct code selection for compliance with federal and insurance regulations based on clinician documentation
  • Follows official coding guidelines and departmental policies and procedures
  • Enters and retrieves patient medical data; audits medical record for accuracy and notes deficiencies
  • Consults with and educates physicians and other healthcare providers on coding practices to provide detailed information and gather additional documentation
  • Collaborates with Clinical Documentation Specialists and members of the medical staff to ensure completeness of documentation in charts so appropriate codes are assigned.
  • Verifies charges and documents reasons accounts not coded
  • When applicable, apply the appropriate charges for evaluation and management services, injections, infusions and other procedures.
  • Monitors and works accounts that are Discharged Not Final Billed to ensure timely, compliant processing of accounts through billing system.
  • Provides coding support to revenue cycle teams in correcting charge/code related claim edits to meet payer filing requirements
  • Meets accuracy, quality, productivity and key performance metric indicators
  • Maintain current knowledge of ICD-10-CM/PCS and CPT/HCPCS coding systems and retains current coding certification
  • Facilitates validations of coding related software by testing and troubleshooting applications that impact coding workflows
  • Provide expert knowledge of health care and industry trends to Trilogy team in coding areas
  • Function as internal consultant to Trilogy staff and organization leadership on coding related issues and questions
  • Assists with review and resolution of coding related denials

Required Qualifications:

  • Associate’s degree in health informatics or information management from a program accredited by the Commission on Accreditation for Health Informatics and Information Management preferred.
  • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or coding related certification through AAPC or AHIMA required
  • Minimum 2 years medical coding experience
  • Knowledge of CPT, HCPCS and ICD-10 Coding conventions
  • Good working knowledge of coding regulatory and compliance guidelines
  • Skilled in teamwork dynamics
  • Excellent communication and presentation skills in both written and verbal formats, including the ability to produce clear and well-organized documentation
  • Customer-focused, team player with a desire to continuously improve current business practices/processes
  • Passionate about excellence, coding quality and integrity; with the ability to drive process improvement of coding-related issues

Instructions for Resume Submission:

Email: info@trilogy-health.com

Mail:
Trilogy Revenue Solutions
911 Flynt Drive
Flowood, MS 39232-9572

Human Resources Fax:
601-398-4161

Apply Online: https://trilogy-health.com/trilogy-healthcare-solutions-careers/

Coding Manager

Trilogy Revenue Cycle Solutions

Introduction:

Nature and Scope:

The Manager of Coding/HIM is responsible for managing and coordinating the day-to-day activities of the coding team. Responsibilities of the Manager include planning and organizing coding workflows, recruiting and on-boarding coding staff, and monitoring coding productivity. Generally, this position is responsible for the daily management of all coding and HIM related activities. The effective day-to-day management and leadership of staff are critical to the success of this position. The Manager of Coding/HIM is the business owner of the coding daily work as well as the strategic vision and compliance of the coding department, to ensure Trilogy is leveraging best practices for our coding business needs.

Job Description:

Principal Job Responsibilities

  • Works collaboratively with Associate Vice President of Revenue Cycle Solutions to develop business plans, short- and long-term goals, along with measurable goals designed to improve efficiency, quality of services, clinical documentation, timeliness, productivity, service excellence and appropriate reimbursement for services.
  • Manages day-to-day operations of the coding team by monitoring productivity and delegating work to both on-site and off-site staff
  • Ensures established Key Performance Indicators are met
  • Ensures staff compliance to coding guidelines and reimbursement regulations such as hospital outpatient prospective payment system, APCs, DRGs, and NCD/LCD by actively engaging in denial management to educate staff, monitor trends, and suggest improvements
  • Provides coding support to revenue cycle teams in correcting charge/code related claim edits to meet payer filing requirements
  • Proactively monitor staff coding accuracy and compliance to coding guidelines
  • Provide staff coding related education as appropriate
  • Maintain current knowledge of ICD-10-CM/PCS and CPT/HCPCS coding systems and retains current coding certification
  • Lead the process of selection, implementation, and staff training of all applicable coding software
  • Facilitates validations of coding related software by testing and troubleshooting applications that impact coding workflows
  • Provide expert knowledge of healthcare and industry trends to Trilogy team in coding areas
  • Function as internal consultant to Trilogy staff and organization leadership on coding related issues and questions
  • Work with senior leadership to prioritize and synthesize coding department needs

Required Qualifications:

  • Bachelor’s degree in health informatics or information management from a program accredited by the Commission on Accreditation for Health Informatics and Information Management preferred.
  • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or coding related certification through AAPC or AHIMA required
  • Minimum 5 years management/supervisory experience in coding
  • Minimum 6 years medical coding experience
  • Expert knowledge of coding regulatory and compliance guidelines
  • Skilled in teamwork dynamics, both as a member and a leader
  • Excellent communication and presentation skills in both written and verbal formats, including the ability to produce clear and well-organized documentation
  • Customer-focused, team player with a desire to continuously improve current business practices/processes
  • Ability to see the big picture while maintaining a detail-oriented mindset
  • Ability to manage in a complex, highly regulated environment; manage multiple computer systems and workflows; and successfully navigate nuances of leadership teams and providers.
  • Passionate about excellence, coding quality and integrity; with the ability to drive process improvement of coding-related issues

Education Qualifications:

  • Bachelor’s degree in health informatics or information management from a program accredited by the Commission on Accreditation for Health Informatics and Information Management preferred.

Instructions for Resume Submission:

Apply online or submit resume to info@trilogy-health.com

Apply Online: https://trilogy-health.com/trilogy-healthcare-solutions-careers/