Job Description

Coder I

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Job ID: 000E7Y
Winfield, AL
Administrative Support - Health Information Management
Full Time - Variable

Posting Description

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At North Mississippi Health Services, our mission is to "continuously improve the health of the people of our region." We aim to "provide the best patient and family-centered care and health services in America." We believe that fulfilling our mission and vision calls us to embrace the best people who form incredible connections with our patients and families.



We take pride in celebrating everything that makes you unique--your talents, perspectives, and passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. You know what connected feels like when you are part of our team.



#WhatConnectsYou

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JOB SUMMARY

The Coder I at North Mississippi Health Services is responsible for ensuring timely and accurate billing, especially for outpatient records, by assigning diagnostic and procedural codes according to patient record and documentation, monitoring and investigating reimbursement, managing reporting and filing, and conducting audit review to ensure compliance with relevant standards and registries. This role engages broad knowledge and strong communication skills to coordinate internally and externally for reimbursement and to ensure compliance with all relevant policies, procedures, and guidelines.

JOB

FUNCTIONS

Coding:


Assign diagnostic and procedural codes using ICD-9-CM and CPT-4 coding system (3M codefinder) for outpatient and emergency department records in order to ensure accurate billing and statistical information and to provide severity adjusted data for Clinical Efficiency.
Reimbursement:
Assign APCs - Ambulatory Payment Classifications - to all outpatient visits ensuring appropriate reimbursement for services. Apply local Medical Review Policies regarding medical necessity to all lab/ radiology outpatient accounts to ensure appropriate reimbursement for the provided service. Validate all outpatient charges. Review non-covered, modifier and claim dispositions report and provide additional information to each account as needed and communicate information back to business office.
Compliance:
Abide by NMHS Coding Compliance Policy, ICD-9-CM and CPT Coding Guidelines and Standards of Ethical Coding. Comply with national and local coverage determination coverage issues. Attend, demonstrate and participate in required inservices, quarterly coding meetings, performance improvement activities (including EXCEL) and other educational programs.
Clinical Pertinence Review:
Conduct pertinence review on outpatient records to comply with JCAHO Standards and to ensure quality documentation of medical records.
Filing:
File various health information Services' reports, record, documents, and other correspondence in a readily retrievable manner to ensure availability to needed references.
Cancer Registry:
Manage and analyze clinical cancer information for the purpose of processing, maintaining, compiling and reporting Health information for research, quality management/improvement, and monitoring patient outcomes. Comply with reporting standards and data in accordance with departmental policy/procedures and criterion established by various legal and regulatory agencies.
Release Of Information:
Process requests for the release of information (via phone or fax) contained in the permanent medical record; monitor and secure properly executed authorization prior to releasing medical information requests. Maintain the release records in accordance with departmental policy/procedures and criterion established by various legal and regulatory agencies. Maintain patient confidentiality as required by HIPAA effective April 2003.
Customer Service:
Assist ancillary departments with determining appropriate CPT codes for their charges.
Assist Business Services and patients with inquires regarding the coding on bills.

QUALIFICATIONS

Education

High School Diploma or GED Equivalent . Required Associate's Degree Health Information Management or related field. Preferred

Licenses and Certifications

RHIT - Registered Health Information Technician. . Upon Hire. Preferred RHIA - Registered Health Information Administrator. . Upon Hire. Preferred CCS-Certified Coding Specialist. . within 1 Year. Preferred

Work Experience

1-3 years. Previous coding experience with ICD-9-CM and CPT-4 coding schemes. Preferred

Knowledge Skills and Abilities

Knowledge of APC reimbursement system. Thorough knowledge of medical terminology. Previously completed course in basic anatomy. Ability to read and interpret medical record documentation. Ability to operate PC. On-the-job-training of 3-6 month duration. Assist Business Services staff with special needs for billing information. Ensure timely billing of accounts by monitoring UB-92 Billing Hold Report. Monitor outpatient record content to ensure that all required documentation is available to assign accurate codes/APC. Good communication skills to interact daily with physicians, Emergency Room personnel, all outpatient departments and HIS co-workers, managers and patients.

Physical Demands

A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Standing

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Constantly

Walking

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Frequently

Sitting

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Rarely

Lifting/Carrying

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Frequently 50 lbs

Pushing/Pulling

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Frequently

Climbing

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Occassionally

Balancing

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Occassionally

Stooping/Kneeling/Bending

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Frequently

Reaching/Over Head Work

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Frequently

Grasping

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Frequently

Speaking

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Occassionally

Hearing

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Constantly

Repetitive Motions

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Constantly

Eye/Hand/Foot Coordinations

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Frequently

Benefits

A

vailable
Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers

Requirements

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No additional requirements from any stated in the above description.
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Education

You must have the following education to apply:

You must have a High School Diploma or GED or higher