Codes primarily acute hospital inpatient, SNF, Rehab, for the purpose of accurate reimbursement, research and compliance with federal regulations. Coding of Ambulatory, ER / Urgent Care, Interventional Radiology and same day surgery records is performed on an as needed basis. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Actively participates as a member of the Clinical Documentation Improvement Team (CDI Team) as outlined in this document.
Responsibilities:
EDUCATION
B.S. in Health Information Management or AAS in Health Information Technology or
Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider an RHIA or RHIT eligible candidate if enrolled in an HIT or HIM program and candidate has completed coding, medical terminology, anatomy & physiology;
An experienced coder with the Certified Coder Specialist (CCS) credentials would also be considered Successful certification within one (1) year of date of hire or graduation, whichever is later (AHIMA or AAPC)
Candidates are required to take and successfully pass a CH coding test
Maintains credentials by meeting AHIMA continuing education requirements
CDI Team training and participation in CDI Team meetings and activities
EXPERIENCE
Six (6) months coding experience in an acute care facility is preferred
KNOWLEDGE, SKILL AND ABILITY
Thorough knowledge of ICD-10-CM and CPT coding systems, medical terminology, anatomy and physiology
Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, department managers, CDI Specialists and Finance.
Superior written and interpersonal communication skills
Drive performance. Ambitious, takes prompt action for priorities, addresses challenges & opportunities. Possess skills related to organization and prioritization. Is action oriented.
Demonstrated proficiency with computers, software, hardware and technological advances.
Problem Solving: Includes appropriate staff in problem solving, defining, and prioritizing.
Excellent analytical skills.
Mobilizer. Sets goals/expectations. Ability to meet deadlines consistently and generate reports.
Change Driver. Welcomes improvement, open to new ideas of others, helps others embrace change and accepts suggestions for change from other team members. Embraces creative thinking, generates creative solutions.
Ability to read medical record documents and utilize computer to enter diagnoses, procedures and patient data throughout the day.
Ability and knowledge to review CDI worksheet and utilize (if appropriate) to code chart and/or query physician.
WORKING CONDITIONS
Primary work is sedentary with majority of time spent sitting.
Frequent repetitive action of using computer keyboard.
Individual works in an office setting utilizing medical records, computers and various software and reference books to assign codes for accurate reimbursement.
Travel is required for float positions.
NYS Drivers license and transportation is required. Travel between facilities to assist with coding at other sites.
ENVIRONMENT
Normal heat, light space, and safe working environment; typical of most office jobs.
Numbers & Facts
Location
Buffalo, NY
Industry
Healthcare Services
Company Size
10,000 employees or more
Year Founded
1998
Website
http://www.chsbuffalo.org
About Company
Catholic Health is dedicated to developing an exceptional workforce focused on a culture of inclusiveness and integrity that values diversity. Located in Buffalo, NY, Catholic Health is a non-profit healthcare system that provides care to Western New Yorkers across a network of hospitals, primary care centers, imaging centers, and several other community ministries. Our mission sets us apart. It's the human side of healthcare – the touch, smile or comforting word that can help make your healthcare experience better. It's treating all people with respect and dignity, and providing comfort in times of greatest need.
Skills
Acute Careunmatched
Analysis Skillsunmatched
Anatomyunmatched
Certified Coding Specialist (CCS)unmatched
Clinical Study Publicationsunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Computer Softwareunmatched
Current Procedural Terminology (CPT)unmatched
Documentationunmatched
Driver's Licenseunmatched
Establish Prioritiesunmatched
Federal Compliance Regulationsunmatched
Financeunmatched
Health Information Managementunmatched
Health Information Technologyunmatched
ICD-10unmatched
Identify Issuesunmatched
International Classification of Diseases (ICD)unmatched
Interpersonal Skillsunmatched
Keyboardsunmatched
Medical Codingunmatched
Medical Officeunmatched
Medical Recordsunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Patient Careunmatched
Physiologyunmatched
Problem Solving Skillsunmatched
Process Improvementunmatched
Radiologyunmatched
Registered Health Information Administrator (RHIA)unmatched
Registered Health Information Technician (RHIT)unmatched
Regulatory Complianceunmatched
Reimbursementunmatched
Reporting Skillsunmatched
Set Goalsunmatched
Team Playerunmatched
Time Managementunmatched
Urgent Careunmatched
Willing to Travelunmatched
Writing Skillsunmatched
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