Coder III - Facility Days
Coder III - Facility Days
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Salary Not Disclosed
1 Vacancy
Job Description
At Atrium Health Wake Forest Baptist we take pride in offering a dynamic and fulfilling work environment. Joining our team means becoming an essential part of a leading healthcare institution that is committed to providing exceptional patient care and advancing medical research.
Position Highlights:
- Shift Schedule: Full time 40 hours)
- Department: Coding Education
- Location: Winston Salem NC
What We Offer:
- Day 1 Health Coverage:Amazing health insurance with the option of copay or HSA eligible plans
- Wellness Incentives:Up to $1350/year in wellness incentives through our LiveWELL program
- Education:Eligible for ourPrepaid College Tuition Assistance program (up to $5250/year)!
- Parental Benefits:Six weeks paid birthingmother maternity leave & four weeks paid parental leave
- Retirement: Up to 7 employerpaid retirement contributions
Education/Experience/Certifications to Qualify:
- Graduation from an accredited medical coding program and two years of experience as an inpatient or ambulatory surgery coder in an acute care facility or demonstrated competency of knowledge base.
- Satisfactory completion of college level courses in anatomy physiology and medical terminology preferred. EPIC health information system experience preferred.
- Coding certification CCA CIC CPCH CPC CCS RHIT or RHIA required.
Essential Functions:
- Ensures the timely and accurate coding and completion of patient accounts within established departmental accuracy and productivity standards.
- Applies correct ICD CM/PCS (Inpatient) and ICD CM/CPT codes (Outpatient) guidelines meeting departmental policy regarding compliant methods timeframes use of applications and productivity.
- Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded.
- Reviews facility charges as provided and edits where necessary to ensure charges are compliant and substantiated by provider documentation.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
- Queries physician when existing documentation is unclear or ambiguous following AHIMA guidelines and established policy. Brings identified concerns to Manager Coding for resolution.
- Assigns the MS DRG and MCC/CCs that most appropriately reflects documentation of the occurrence of events severity of illness and resources utilized during the inpatient encounter and in compliance with department (Inpatient).
- Reviews departmentspecified reports daily to identify charts that need to be coded based and prioritizes as per departmentspecific guidelines and within designated timelines.
- Follows up to ensure that any edits that prevent an account from dropping are corrected within established timelines.
- Produces specific reports on a monthly basis per established parameters.
- Responds to inquiries from Patient Accounts or other departments as requested. Communicates with Manager when trending request volumes impact productivity.
- Participates in on site and/or external training workshops as opportunities arise; maintains credentials if applicable and submits written evidence of maintenance.
- Participates in training other coders. Acts as a mentor when assigned.
- Collaborates on cases where the final DRG and coded DRG differ in order to resolve the difference (Inpatient).
- Works with the Health Records Specialists to identify opportunities for MSDRG optimization when medically indicated (Inpatient).
- Participates in accurate data collection evaluation and recommendations for process improvements.
- Participates as a member of the Clinical Documentation Management Program
- Assists Managers as requested.
Employment Type
Full-Time
