Location : Clackamas, OR (REMOTE in WA or OR)

JOB SUMMARY :

To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for : Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records.

Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS / CPT classification and nomenclature systems.

All work will be carried out in accordance with the : International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS);

American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), the organization / institutional coding directives.

Ability to communicate with physicians in order to obtain clarification for diagnoses / procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties assigned.

The position requires the new coder to be on-site for one (1) week training or until they meet the departments expectations.

REQUIRED KNOWLEDGE AND SKILLS :

• High School Diploma or General Education Development (GED) required.
• Minimum five (5) years of experience in health information / Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines.
• Degree in Health Information Management.
• Proficient knowledge and skill in the use of a computer and related system and software to include : EMR(s), Microsoft Office Suite and other software programs.
• Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare finding trends and outcomes related to productivity and / ore medical record audits.
• Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understand of CMS HCC Risk Adjustment coding and data validation requirements.

License, Certification, Registration :

• Registered Health Information Technician Certificate
• Coding Specialist Certificate
• Registered Health Information Administrator Certificate

Last updated : 2024-04-23