Coding Specialist II, Hospital Billing OP Coding

 Posted 13 hours ago
     
0-2 years experience
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AI Summary

Assigns appropriate ICD, HCPCS/CPT, and E&M codes for outpatient and inpatient encounters while maintaining a 95% accuracy rate. Collaborates with providers for coding clarification and assists in training new employees and students.

JOB DETAILS
Department: Hospital Billing OP Coding
FTE: 1.00 (80 hours per pay period)
Shift(s): Day
Shift Length: 8 hours
Location: Remote*

*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Under general supervision, performs all functions associated with the appropriate assignment of ICD, HCPCS/CPT, and E&M codes for outpatient and/or inpatient encounters

RESPONSIBILITIES

  • Assigns the appropriate ICD, HCPCS/CPT, and E&M codes, as applicable, to diagnoses and procedures generated for outpatient or inpatient encounters, maintaining a 95%25 accuracy rate in conjunction with meeting productivity standards
  • Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement purposes in relation to assigned areas of work by use of a computerized encoding system
  • Validates charges on accounts/charge sessions
  • Effectively interacts with providers and ancillary staff for clarification of coding issues
  • Maintains statistics, records, and logs in relation to assigned work area
  • Assists with the training and in-services of students and new employees in specific areas of assignment as directed by management
  • Keeps educated about current coding updates per management’s direction – including ICD-10-CM, HCPCS/CPT, and E&M code guidelines and methodologies, as well as payor requirement changes as applicable
  • Keeps management informed of coding problems/issues
  • Represents coding on teams, committees, and task forces as assigned by management
  • Actively participates in other duties as assigned, but only after appropriate training


QUALIFICATIONS
Minimum Qualifications:

  • Must have completed an American Health Information Management Association (AHIMA) approved program for Certified Coding Specialist, -OR- Health Information Technician (2 year degree), -OR- Health Information Administrator (4 year degree)
  • Certifications obtained: Certified Professional Coder (CPC) by an AAPC recognized program, -OR- Certified Coding Specialist-Professional (CCS-P), Registered Health Information Technician (RHIT), -OR- Registered Health Information Administrator (RHIA) by an AHIMA recognized program

-PLUS-

  • One year of coding experience is preferred

-OR-

  • An approved equivalent combination of education and experience

Knowledge/ Skills/ Abilities:

  • Ability to communicate effectively both orally and in writing
  • Ability to work independently with minimal direction

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