Nationwide Children's Hospital

  • Coding Specialist Sr.

    Posted Date 2 weeks ago(1/9/2019 6:49 AM)
    Requisition ID
    2019-14726
    Category
    Health Information Management (HIM)
  • Overview

    We are seeking a Coding Specialist Sr.

    Utilizing 3M encoding system, the Senior Coding Specialist is responsible for accurate assignment of I-10 and CPT codes to inpatient and outpatient medical records for the purpose of reimbursement, research and compliance with federal regulations.  Coding Staff are required to meet coding quality and quantity standards.  Also Coding Staff are responsible for researching newly identified diagnoses and/or procedures for code assignments. They also perform all other duties  as assigned by Manager or Lead Coder.

     

    LOCATION: 

    Health Information Management department

    255 E. Main St.

    Columbus, OH  43215

     

    SCHEDULE:  FULL-TIME, day shift, (remote capability after quality and productivity standards met; candidates within commute radius to the location preferred.)

    Responsibilities

    Why Nationwide Children’s?

    The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Children’s Hospital, where Passion Meets Purpose.

    Here, Everyone Matters. We’re 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world we’ll never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

    Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

    Nationwide Children’s Hospital. A Place to Be Proud.

     

    What Will You Be Doing?

    1. Utilizes the 3M encoder system to assign I-10 and CPT codes to inpatient medical records and calculate

    DRGS.

                  

    1. Codes inpatient, OBS/OPS, emergency room, and other outpatient records utilizing I-10 and CPT coding system.

     

    1. Codes all cycle bills for Patient Accounts so that an interim bill can be generated.

     

    1. Consistently codes 18 inpatient accounts, 35-40 OPS/OBS accts, 225 ED/UC accts or 300 diagnostic accounts

     

    per day.

          

    1. Consistently codes at 95% accuracy rate or better (minimum quality standard).

     

    1. Meet weekly coding deadlines to bill within NCH hospital suspense of 5 days.

     

    1. Works successfully in a team environment to achieve coding goals and deadlines.

     

    1. Utilizes Internet and other resources to research newly identified diagnoses and/or procedures.

     

    1. Assists physicians in research projects by identifying the necessary ranges of disease or procedure codes.

     

    1. Researches billing issues for Patient Accounts by analyzing edits and account denials.

     

    1. Exhibits excellent customer service skills in daily contact with internal and external customers.

     

    1. Identifies process problems in daily workflow and takes the initiative to solve them.

     

    1. Uses Streamline Health, Provation, Cardio IMS, and Epic to access documentation for code assignments.

     

    1. Reviews HIM workqueues for unbilled accts out of deadline and completes coding.

     

    1. Performs inpatient and outpatient coding audits at direction of Coding and Compliance Manager.

     

    1. Participates in Coding In-service programs and outside educational meetings.

     

    1. Completes required on-line coding education modules as assigned.

     

    1. Accesses CDI software to populate coding APRDRG and evaluate variances.

     

    1. Educate CDS Specialists on I-10CM coding.

     

    1. Communicate with CDS team using CDS Software, phone or in person regarding APRDRG mismatches.

     

    1. Query providers to confirm diagnoses, procedures or specificity.

     

    1. Performs other duties as assigned by the Coding and compliance Manager.

    Qualifications

    Knowledge, skills and abilities required        

    1.  Health Information technology program graduate with successful completion of accreditation examination

                   preferred.

     

    1. CPC, COC or CCS certification required if RHIT certification not completed.

     

    1. Minimum 2-3 years of acute care coding experience preferred.

     

    1. Working knowledge of ICD-10CM and I-10 PCS coding, CPT, and APRDRG’S.

     

    1. Epic familiarity preferred.

     

    1. Computer literacy required with ability to key entry into 3M quickly.

     

    1. Experience with 3M encoder system preferred

     

    1. Ability to handle multiple tasks, priorities and deadlines.

     

    1. Analytical and organizational skills a must for analyzing charts and data.

     

    1. Effective communication and interpersonal skills required with ability to work with physicians

    and other caregivers regarding coding issues.

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