Trauma Registrar

Overview

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Carondelet St. Josephs Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

JOB SUMMARY

Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

1. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).

Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.

Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.

Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines

Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. - 85%

2. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. - 10%

3. DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. - 5%

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A KNOWLEDGE, SKILLS, ABILITIES

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.

• Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
• Proficient at writing AHIMA compliant physician queries
• Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
• Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
• Works collaboratively with CDI, Quality and other facility leadership
• Functional knowledge of facility EMR, encoder, CDI tool and other support software

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Required: Minimum two (2) years' experience with medical terminology, performing inpatient coding in acute care setting
• Required: High school graduate or equivalent
• Preferred: Associate or Bachelor's Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed

CERTIFICATES, LICENSES, REGISTRATIONS

• Required: AHIMA (excludes CCA) or AAPC approved credential

Qualifications

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Required: Minimum two (2) years experience performing inpatient coding in acute care setting
• Required: High school graduate or equivalent
• Preferred: Associate or Bachelor's Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed

CERTIFICATES, LICENSES, REGISTRATIONS

• Required: AHIMA (excludes CCA) or AAPC approved credential

#LI-SB4

Organization Description

Established in 1961, St. Josephs Hospital in Tucson is home to the Carondelet Neurological Institute and the Carondelet Joint Replacement Center. The hospital offers advanced care that includes a Level I Trauma Center, Comprehensive Stroke Center and spacious and comfortable labor and delivery units. Additional services include high-quality care in programs such as cardiology, orthopedics, stroke and emergency medicine. Join our team!

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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