UNKNOWN

FEED

OTHER

Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time. Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.

DESCRIPTION OF POSITION:Responsible for assisting in day-to-day operations of the HIM Department. Primary responsibilities include but are not limited to:KEY RESPONSIBILITIES:<ul><li>Answering phone calls; scanning documents; emptying binders</li><li>Reviews medical documentation and reviews assigned medical codes.</li><li>Tracking, processing, and evaluating requests for release of information (ROI).</li><li>Demonstrates knowledge in HIPAA standards</li><li>Demonstrates knowledge of existing and emerging requirements related to privacy and confidentiality of health information</li><li>Follows all policies, protocols, and standards of the HIM process</li><li>Demonstrates the ability to gather data, compile information for the preparation of reports</li></ul>RequirementsQualifications and Experience:<ul><li>High school diploma, GED or equivalent required</li><li>Coding Certification Required.</li><li>Minimum one (1) year administrative experience preferred</li><li>Previous experience in a psychiatric setting preferred.</li><li>Ability to maintain information as highly confidential.</li><li>Knowledge of applicable laws, standards, and regulations affecting health information systems, specifically in behavioral health service areas.</li></ul>Physical Requirements:    While performing the duties of this job, this position is frequently required to do the following:  <ul><li>Use standard office equipment and access, input, and retrieve information from a computer.   Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.  </li><li>Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.  </li><li>Give and follow verbal and written instructions with attention to detail and accuracy.  </li><li>Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.</li><li>Vision: see details of objects at close range.</li><li>Coordinate multiple tasks simultaneously.  </li><li>Reach forward, up, down, and to the side.  </li><li>Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.</li><li>Lift up to (30) pounds, exert up to 100 pounds of force occasionally, and/or up to 30 pounds of force frequently.</li></ul>BenefitsWe proudly offer the following benefits available 1st of the month following just one month of employment:<ul><li>Competitive rates</li><li>Tuition reimbursement</li><li>Comprehensive package of benefits to include:</li><li><ul><li>Medical</li><li>Dental</li><li>Vision</li></ul></li><li>Life, Pet, Identity Theft Insurance</li><li>401k</li><li>Generous paid time off</li><li>Short Term and Long Term Disability</li></ul>

Reno Behavioral Healthcare Hospital

Health Information Management Coder

Administrative Skills

Behavioral Health

Communication Skills

Data Analysis

Data Collection

Detail Oriented

Documentation

HIPAA (Health Insurance Portability and Accountability Act)

Health Information Management

Healthcare

Information Technology & Information Systems

Interpret Regulations

Keyboards

Lift/Move 30 Pounds

Manual Dexterity

Multitasking

Office Equipment

Patient Confidentiality

Psychiatry and Mental Health

Regulations

Reporting Skills

Request for Information (RFI)

Return on Investment (ROI)

Telephone Skills

Workable

Job Responsibilities The accurate assignment of ICD-10-CM diagnostic codes and procedural CPT codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation; leading to coding accuracy and abstracting of pertinent data elements from documentation provided to report and code for reimbursement. Nature and Scope Incumbent provides intermediate Clinical outpatient coding support through the Health Information Management department and works in conjunction with the Health Information Management leadership to complete all applicable coding assignments that can include Laboratory, Radiology, Emergency Department, Same Day Surgery, and Observation encounters.

The purpose of this position is to correctly assign ICD-10-CM diagnostic/procedure CPT codes on clinical encounters in accordance with regulatory and CMS Official Guidelines for coding and reporting to ensure accurate reimbursement.Nature and Scope
Incumbent provides intermediate Clinical outpatient coding support through the Health Information Management department and works in conjunction with the Health Information Management leadership to complete all applicable coding assignments that can include Laboratory, Radiology, Emergency Department, Same Day Surgery, and Observation encounters. For compliance, this position must adhere to CMS Official Guidelines for Coding and Reporting. Intermediate outpatient coding staff must also have experience in one or more of these specialty outpatient areas including but not limited to, Recurring Wound Care, Injection Infusion Charging, Home Health, Hospice, Specialty Hospital Outpatient Departments and Pain Management.Job Responsibilities
The accurate assignment of ICD-10-CM diagnostic codes and procedural CPT codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation; leading to coding accuracy and abstracting of pertinent data elements from documentation provided to report and code for reimbursement. This position may also be responsible for identifying appropriate charges based on documentation and coding guidelines. When documentation or a valid order is incomplete, vague, ambiguous, or missing, it is the responsibility of incumbent to work in conjunction with HIM staff to utilize the appropriate physician clarification process to obtain additional information that provides a codable sign, symptom, or diagnosis and/or physician order.Other Responsibilities<ul><li>Apply clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record.</li><li>Adherence to Health Information Management (HIM) Coding policies.</li><li>Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses, and procedures.</li><li>Adherence to The Joint Commission (TJC) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy.</li><li>Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM coding guidelines and regulatory changes.</li><li>Contacts the appropriate department or HIM staff member for assistance in obtaining physician clarification of diagnoses.</li><li>Participates in performance improvement initiatives as assigned.</li><li>Clarify physician documentation by utilizing facility-established query process.</li><li>Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CPT/HCPCS Coding Guidelines, AHA Coding Clinics, CMS guidelines, and other resources as applicable.</li><li>May provide education and support to clinical areas in regard to appropriate documentation and code assignment.</li><li>This position must consistently meet or exceed productivity and quality standards as defined by department Leadership.</li></ul>KNOWLEDGE, SKILLS, AND ABILITIES<ol><li>Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.</li><li>Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding.</li><li>Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes and procedural CPT codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.</li><li>Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.</li><li>Knowledge of clinical content standards.</li><li>Utilize critical thinking and problem-solving abilities.</li><li>Ability to work well with others.</li><li>Uphold a strong work ethic characterized by honesty and dependability.</li><li>Demonstrate personal time management skills, including organization, prioritization, and multitasking.</li><li>Adherence to company policies, procedures, and directives.</li></ol>Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.Minimum Qualifications<ul><li>Education: Must have working-level knowledge of the English language, including reading, writing, and speaking English. High School Diploma/GED required.</li><li>Experience: A minimum of 2-5 years of outpatient coding experience is required. Experience in acute care facility outpatient and/or Trauma Level II coding preferred.</li><li>License(s): Certification(s): CCS, CPC, and/or COC Coding credential required. (Excludes apprenticeship classification)</li><li>Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, Power Point, Excel, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.</li></ul>

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