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Rotating - 08 Hour (United States of America)
This is a Stanford Health Care Tri-Valley job.
A Brief Overview
Assumes responsibility for accurately coding and abstracting medical records of discharged patients for reimbursement purposes and to establish statistical indices and data sources used for research studies, surveys, and medical audits and special reports. Responsible for evaluating information in the medical record for completeness, consistency and accuracy. Has working knowledge of all work aspects of the Health Information Management Department and its Responsibilities. Required to have technical, in-depth understanding of the substantive contents of the medial record including a comprehensive grasp of a wide variety of specialized medical terminology, testing and treatment relationships and sequences and detailed knowledge and skill in the current version of the International Classification of Diseases (ICD-9-CM) and CPT4 coding systems and structure.
Locations
Stanford Health Care Tri-Valley
What you will do
- Codes a wide variety of principal and secondary diagnoses and
- procedures according to the latest adaptation of the International
- Classification of Diseases (ICD-9-CM) and CPT4 coding and according to official coding guidelines and UHDDS definitions.
- Relies of knowledge of anatomy, physiology, disease processes, and medical terminology in searching the medical chart in order to complete properly sequence the coding of diagnoses and procedures and to determine proper codes for diagnoses and procedures not clearly listed in the ICD-9-CM code books.
- Assigns CPT4 procedure codes on appropriate Medicare and Medi-Cal inpatient charts and outpatient charts.
- Abstracts data elements on-line according to department guidelines, abstracting requirements, hospital and department needs.
- Abstracts pertinent data from medical charts according to criteria established by the office of Statewide Health Planning and Development (OSHPD), Medical Staff for individual physicians for various studies.
- Abstracts information from medical charts for statistical indexing and preparation of summary reports to various agencies.
- Maintains a tally of work production and submits weekly reports to supervisor
- Accepts responsibility for performing special studies and related tasks as delegated by the Supervisor.
- Assists in continually upgrading the Quality Improvement efforts of the Health Information Management Department by identifying discrepancies found in work procedures, participating in problem solving methods and cooperating in the implementation of corrective action, if necessary.
- Participates in departmental programs for continuing education, health and safety programs and fire safety plans.
- Performs other related duties as requested by Supervisor.
- Consistently demonstrates a team player attitude.
- Maintains harmonious working relationships within the department and outside the department, including interaction with the Medical Staff.
- Works efficiently and effectively throughout the workday.
- Attendance: No more than 3 unscheduled PTO requests within a 6 month period. Less than 3 request to leave early or come in late within a 6 month period.
Education Qualifications- Credentials (or eligible) as RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) with successful completion of accredited course in coding with ICD-9-CM and CPT4 coding systems Required
- Successful completion of accredited courses in Medical Terminology and Physiology and Anatomy and disease processes Required
Experience Qualifications- Three (3) years previous experience Required
Required Knowledge, Skills and Abilities- LEVEL REQUIREMETNS:
- Demonstrates ability and proficiency to be productive while maintaining a high level of accuracy in coding with ICD-9 CM and CPT4 systems and in abstracting information
- Expanded knowledge and ability to support multiple departments (i.e. CCL, GI, OR)
- Educates providers and staff on documentation requirements
- Precepts new staff and physicians on documentation requirements
- Supports two (2) or more service lines
- REQUIRED CERTIFICATIONS
- CCS (Certified Coding Specialist) or CIRCC (Certified Interventional Radiology Cardiovascular Coder) or CPC (Certified Professional Coder)
- Successful completion of ICD - 9 CM (or most current) and CPT 4 coding systems
- Successful completion of accredited courses in Medical Terminology, physiology, anatomy and diseases processes
- Successful completion coding test at a minimal level of 90%
- Knowledge and experience in use of 3M encoder preferred
Licenses and Certifications- CCS - Certified Coding Specialist required and
- CPC and/or CCSP - Certified Professional Coder or
- ICD10 CERTIFICATION
These principles apply to ALL employees:SHC Commitment to Providing an Exceptional Patient & Family ExperienceStanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective: - Know Me: Anticipate my needs and status to deliver effective care
- Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
- Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $39.56 - $49.45 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.