Summary

Accountable for reviewing documentation in the patient medical record in order to code based on Medicare requirements, including ICD-10 guidelines. The Hospice Quality Coding specialist has a strong focus on quality and accuracy. Ensures all regulatory and best practices are met with quality documentation, and achievement of key performance indicators. Accountable for coding hospice episodes based on ICD-10 guidelines, with a strong focus on the integrity of the patient’s medical record. Strong attention to detail and timeliness are essential to the role. Knowledge of all regulatory, best practice and organizational policies and processes are key components of success for this role.

Essential Duties and Responsibilities

• Completes ICD-10 coding of hospice episodes based on medical history, physician input and up-to-date ICD-10 coding guidelines.
• Maintains current knowledge of, and causes, compliance with all federal, state and local regulations.
• Performs other duties as assigned.
• Maintains current knowledge of, and causes, compliance with all federal, state and local regulations.
• Performs other duties as assigned.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High school diploma required. College work in business or related field preferred.
• ICD-10 Coding certified or pending certification.
• Minimum of two (2) years office or related experience. Healthcare environment preferred.
• Demonstrated knowledge of the appropriate skills for communicating with individuals of all ages, especially the geriatric population. Excellent interpersonal skills including excellent verbal and written communication skills.
• Strong proficiency in computer and software skills.
• Strong attention to detail.
• Working knowledge of personnel management, record keeping, and office administration.
• Proven ability to set and achieve objectives and to find increasingly efficient ways to perform tasks.
• Completes work with a high level of accuracy and within organization time frames.
• Self-motivated, requiring minimal supervision and capable of working independently.
• Adheres to organization infection control and safety policies, including reporting issues related to infection control and safety, and demonstrates use of infection control and safety policies in job position.

Certificates, Licenses, Registrations

Must have and maintain in good standing professional license, certificate, or registration, as applicable.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel (0% -25%) for occasional meetings, mentoring, or training and be exposed to changing weather conditions.