PRN Position - As Needed

GENERAL SUMMARY

The quality of work produced by the Coding Specialist is critical to the success of FTMC as the coded data represents the organization for a variety of purposes. Translation of clinical documentation into coded data must be an accurate and complete representation of the patient's episode of care, which affects quality scores, hospital, and physician profiling, appropriate reimbursement, statistical data reporting and mitigation of compliance risks. The purpose of the Coder I position is to assign diagnosis and/ or procedure codes to patient accounts utilizing ICD and/or CPT/HCPCS classification systems, as appropriate. The primary focus of this position is to code based on skill set and knowledge including demonstrated proficiency in all the following work types: OP Ancillary, Recurring encounters, Ambulatory Hospital based Clinics. Other responsibilities also include abstracting of accounts, resolving claim edits, researching coding issues, querying the physician, and being an active participant of the coding team to ensure the highest quality of coded data.

RHIT or CCS required.

ESSENTIAL FUNCTIONS

Utilizes the Encoding system, coding manuals and/or reference materials for proper assignment of all ICD-10-CM/PCS and CPT/HCPCS codes which are supported by provider documentation. Appropriately queries provider for clarification or additional documentation needed to support diagnosis/procedure especially for inpatient encounters to obtain appropriate MS-DRG weight assignment.

Applies uniform hospital discharge data-set definitions to select the principal diagnosis, principal procedure, and other diagnosis and procedures that require coding. Applies sequencing guidelines to coded data according to official coding rules, for patient type. Abstracts all data required by the hospital wide information system and department policies.

Meets quality standards. Follows ethical coding practices and regulatory requirements mandated by the Federal Government, regulatory agencies and internal policies. Actively participates in external/internal review activities and departmental education regarding coding and reimbursement. Remain current and apply regulatory/coding changes as appropriate.

Remains abreast of developments in medical record technology by pursing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature.

Meets departmental productivity standards. Maintains efficient and appropriate balance between coding and support functions. Submits weekly productivity reports to supervisor in a timely manner.

Resolves coding-related edits, responds to inquiries regarding coding and reimbursement activities, in a timely manner. Colletcts/tracks data for follow-up and education to insure timely coding of accounts and reporting of information, as appropriate.

Promotes and maintains a close working relationship with coding, Revenue Cycle, clinical departments, and medical staff to effectively meet goals and objectives. Participates in departmental cross training, quality reviews, and project activities as assigned.

About Fisher-Titus

Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. In addition, Fisher-Titus’ employed physicians offer a variety of primary and specialty care services including behavioral health, digestive health, endocrinology, family medicine, general surgery, heart and vascular, internal medicine, occupational health, pediatrics, pulmonary, sleep medicine, spine surgery, urology, and women’s health. Along with the medical center, a 99-bed acute care hospital, Fisher-Titus health system includes Norwalk Memorial Home, a 69-bed skilled nursing facility; Carriage House, a 48-unit assisted living facility; a Home Health Center; and emergency transport through North Central EMS. To learn more, visit fishertitus.org.

Fisher-Titus offers industry competitive benefits including: Medical & Dental coverage, 401K match, paid time off, tuition assistance and more!

Shift differential, weekend bonus pay available and more offered for night shift positions.

Education

• High School or better in General

Licenses & Certifications

• Reg Health Inform. Tech