We are recruiting for a Coding Specialist to join our Coding Operations Team.

Job Summary: Analyze and translate healthcare diagnosis, procedures and medical services taken from physician documenation, such as H&P, Consults, Progress notes and Operative notes, into alphanumeric codes that are captured in an encoder in order to populate a DRG (Diagnostic Related Groupings) which will be used to create bills for submission to Medicare or health insurance companies inorder to receive hospital payment for services provided.

Essential Functions :( Those functions that the individual who holds the position must be able to perform unaided or with the assistance of reasonable accommodation).

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  Provide consistent, accurate, and timely coding of medical records for appropriate billing and/or data collection. To provide guidelines for adherence to the Corporate Compliance Initiatives regarding the requirements applicable to Medicare’s Prospective Payment System for long-term care facilities.
  
• Code all admissions within 1 business day of registration based on the presence of the history and physical.
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  Code operative procedures within 2 business days of receipt of documentation.
  
• Code information provided by the facility from paper patient records within two business days of notification.
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  Attend weekly CDI/Coder calls with HIM and CM in attendance at each facility to discuss possible DRG progressions.
  
• Code discharge patient records within four business days of discharge with accounts with total charges of greater than $250,000 as first priority.
  
• Correspond with CCDI regarding coding and documentation issues utilizing Collaborate daily.

Knowledge/Skills/Abilities/Expectations:

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  Knowledge of the principles of medical record coding. Expertise and credentials in medical records coding.
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  Ability to organize and prioritize work in order to meet job demands.
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  Ability to communicate effectively and present information in an organized manner on a routine basis.

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  Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
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  Ability to maintain a good working relationship with peers, superiors and subordinates while working under stressful situations.
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  Ability to manage several projects/tasks simultaneously.
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  Technical understanding of coding operating systems (hardware and software).
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  Communicates effectively and exhibits courteous behavior when dealing with coding department employees, as well as hospital employees served.
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  Must read, write and speak fluent English.
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  Must have good and regular attendance.
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  Approximate percent of time required to travel:
  
• Performs other related duties as assigned.

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  High School or equivalency diploma or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits.
  

• Certified or licensed individuals, CCS, CCA, CPC, RHIT, RHIA, RN, CPC, COC
  

• 3 years experience as a medical records coder in a health care facility; or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits, and one year of experience working with medical records in a medical records unit in a health care facility; or two years experience equivalent combination of the training and experience.

Depending on candidate’s qualifications, this position may be filled at a different level.