Medical Coder III

2 months ago

Davao del Sur, Philippines Private Advertiser Full time
DUTIES AND RESPONSIBILITIESCoding and abstracting medical records according to Tenet/Conifer’s quality standards. Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Accurately codes and abstracts clinical information from the medical record, in accordance with established coding quality guidelines.Coding Labor Productivity: Meets and/or exceeds Tenet/Conifer’s coding productivity guidelines set for each specific patient type.Professional Development: Stays current with CMS Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM, CPT, and HCPCS coding. Attends mandatory coding seminars on annual basis for inpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls.Communicates and resolves coding issues (lacking documentation, physician queries, missing documentation, second level review, etc.) for timely and appropriate follow-up and resolution

 Required: 

Proficient in inpatient and outpatient diagnosis coding guidelines Proficient in ICD-10-PCS and CPT/HCPCS code assignment Knowledge of MS-DRG and APR DRG classification and reimbursement structures Understanding of appropriate level of care orders Proficient at writing AHIMA complaint physician queries Working knowledge of the Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS) Functional knowledge of facility EMR, encoder and other support software Works collaboratively with CDI, Quality and other facility leadershipCPC, COC, CCS-P, CIC, CCS, or RHIT

 Preferred: 

Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager Ability to establish and maintain effective working relationships as required by the duties of the position Ability to concentrate and accomplish tasks with explicit accuracy Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiencyOne of the above certifications plus RHIT or RHIA