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Job Objective: A brief overview of the position.
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Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines.
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Reports to
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Operations Director
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Supervises
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N/A
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Ages of Patients
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N/A
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: Bachelor’s degree in medical record administration or associate degree in medical record technology or one year coding diploma or courses in Medical Terminology, Anatomy and Physiology and extensive training in coding
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Licensure/Certification
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Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Professional coder (CPC) or Certified Coding Associate (CCA). Other coding certifications will be considered based on years of experience.
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Experience
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Required: CCS with two years’ experience in coding or CPC with one to two years’ experience in coding
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Preferred: 2 to 5 years of Physician coding for Inpatient, Outpatient and procedures.
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Ensures quality of work performed through regular audits maintaining an 95% accuracy rate.
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Maintains daily productivity based on departmental standards.
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Sequences the ICD10 diagnoses and procedures using coding guidelines.
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Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges.
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Creates and submits providers queries when documentation does not support the code provided.
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Communicates with providers, office personnel and management personnel for needed documentation for accurate coding.
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Reviews Claim edits related to coding such as LCD,NCCI and MUE’s and assists with corrections for clean claim submission.
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Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-10-CM and/or CPT coding, HCPCS conventions.
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Assists with research and development and presentation of continuing education programs on areas of specialization.
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Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions.
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Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information.
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Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions.
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Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.