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