Job detail

Coding Specialist II

HonorHealth

#Compliance #Documentation #Medical Records #Healthcare #Billing #CPT #RHIT #Clinical Data #Coding #Charge Capture #Reimbursement #APC

Full Time On Site 2-5 yrsPosted 1 month agoCloses Apr 24

Location

Phoenix, Arizona

Quick overview

Assign and sequence ICD/CPT diagnostic and procedural codes for patient records to ensure accurate billing and reimbursement. Review medical documentation and clinical data to maintain regulatory compliance and support accurate DRG/APC assignment.

Requirements summary

Requires an Associate's degree and a professional certification such as CCS, RHIT, CPC, or RHIA. Candidates must have 2 to 3 years of inpatient coding experience or equivalent experience in outpatient visit types.

associate degreeprofessional certificateRegulatory complianceMedical terminologyICD codingCPT codingMedical record reviewDRG assignmentCharge captureDocumentation assessmentAPC assignmentBilling and reimbursementClinical data abstracting3M encoder software

Job description

Monday - Friday 8

00am - 4:30pm Hybrid role after on-site and some virtual training On-site near Deer Valley - 101 & I17

Overview

Looking to be part of something more meaningful?
At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients.
You’ll have opportunities to make a difference.
From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives.
Visit honorhealth.com/benefits to learn more.
Join us.
Let’s go beyond expectations and transform healthcare together.
HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area.
The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.
Learn more at HonorHealth.com.

Responsibilities

Job Summary Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types for data retrieval, billing, and reimbursement.
Must be able to code at least two outpatient visit types or possess at least 2 years of IP coding experience or comparable clinical experience.
DRG and APC assignment analysis to accurately reflect the diagnosis/procedures documented in the medical record.
Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Assist management with assigned special projects which may include training and education.
Essential Functions Assign and sequence ICD/CPT diagnostic and procedural codes for designated patient types which may include inpatient, observation, ambulatory and emergency room records for billing and reimbursement.
Review CDI notes in Midas to ensure consistent coding.
Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record.
Abstract clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted.
Communicate with Medical Staff as appropriate to clarify documentation issues for accurate coding.
Assist Patient Financial Services with interpretation and selection of appropriate ICD or CPT codes and /or other information requested for accurate billing and reimbursement.
Possess knowledge and understanding of failed bill parameters.
Review and ensure accurate procedure charge capture for Emergency and Observation visit types.
Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
Participates in continuing education activities to enhance knowledge, skills and keep credentials current.
Education Associate's degree BA/AA degree, CCS, RHIT, CPC, RHIA, COC, or CEMC certification - Preferred Other CCS, RHIT, CPC or RHIA certification - Required Experience 2 to 3 years inpatient coding experience or the ability to code at least two of the following patient types: same day surgery, observation, emergency room. - Required 3 to 5 years hospital-based coding experience using 3M encoder software - Preferred Licenses and Certifications Non-Clinical\CCS - Certified Coding Specialist Certified Coding Specialist OR CPC - Required Non-Clinical\RHIA - Registered Health Information Administrator Registered Health Information Administrator - Required Non-Clinical\RHIT - Registered Health Information Technician Registered Health Information Technician OR - Required