Day (United States of America)
Health Information Management/Coding Specialist - Hospice
The Coding Specialist I is responsible for the coding of hospice accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers.
- Minimum 2 year college coding course including anatomy, physiology, medical terminology, CPT-4 and ICD-10-CM and PCS
- Minimum 1 year ED/Ancillary coding or charging in an acute care setting.
- Must have or be eligible for RHIT, CCS, CCSP, CPC or equivalent certifications
- Knowledge of Hospice Local Coverage Determinations and National Coverage Determinations
- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision
- The ability to handle multiple responsibilities and tasks in stressful situations
- Problem solving, analytical and critical thinking skills
- The ability to maintain confidentiality, knowledge of HIPAA laws
- ICD-10-CM and ICD-10 PCS trained
- Experience with Encoders, CAC, EHRs and general computer skills.
- Work within the Halifax Health Hospice Health Information Management Department with records, scanning, inquiries, death certificates, billing information.
- Provide appropriate copies of consents, billing information, compliance forms, admission, death lists, and census to the appropriate team members on a daily basis.
- Excellent organizational skills, strong attention to detail, superior data entry skills and team-oriented work ethics
- Review medical record information and documentation for appropriate code assignment including principal diagnosis, co-morbidities and complications, secondary conditions and procedures.
- Query attending physicians for documentation and diagnostic clarification
- Support and participate in process and quality improvement initiatives
- Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines
Works under supervision of HIM Coordinator/Manager
Daily contact with interdisciplinary care team members, physician's offices, health care facilities and community agencies. Occasional contact with patients and families.
WORK CONDITIONS: General office environment, exposed to electrical/mechanical power equipment. Traveling required from main office sites to other office site for coverage/meetings. Light physical efforts (lift/carry up to 20 lbs.), continuously sedentary work, standing/walking, lifting supplies/equipment, manual dexterity and mobility, reaching, stopping, bending, kneeling, crouching.