Coding Associate, Certified

The Medical Records Coder, under the supervision of the Manager, Medical Records, is responsible for conversion of diagnoses and procedures utilizing the appropriate code sets and a wide variety of other tasks as related to coding and abstracting.

· Assigns ICD-10, CPT and HCPCS codes to inpatient, outpatient, ambulatory, and emergency department records in an accurate and timely manner.

· Assigns/corrects ancillary department charges based on documentation in the medical record.

· Abstracts inpatient, outpatient, ambulatory and emergency department records into CPSI system in an accurate and timely manner.

· Meets established quality and productivity standards.

· Interacts with other departments such as Business Office, Clinical Departments, Utilization Management, Quality Management, Social Services, etc. in response to educational needs, questions and requests.

· Assists with the medical record review process.

· Reviews and works unbilled list.

· Reviews and revises, as necessary, all returns from Business Office due to edit failures.

· Creates and runs various reports utilizing CPSI on a daily, weekly, monthly, annual or an as needed basis.

· Assists clerks, as needed.

· Check charts into and out of the department utilizing the CPSI tracking system.

· Verifies charges per documentation in the record

· Answers telephone and receives visitors in a pleasant and efficient manner.

· Other duties as assigned.

· Understands and uses department computers in an appropriate and efficient manner.

· Highland District Hospital is committed to serving our community by quality healthcare in an atmosphere of safety, compassion and excellence. It is the responsibility of all employees to interact with patients, visitors, and/or co-workers with compassion, dignity, and respect. Employees are to maintain positive behaviors, approaches and attitudes and commitment to interpersonal service. Each employee is to serve as a role model for the organization’s Customer Service initiative; A-I-D-E-T; Acknowledge – Introduce – Duration – Explanation – Thank-you; proactively promoting teamwork and a collaborative culture.

· Responsible for abiding by and adhering to all HDH Corporate Compliance Program initiative and standards.

· Responsible for compliance with HDH safety standards, policies and procedures.

Registered Health Information Technician, Registered Health Information Administrator or Certified Coding Specialist, Associates degree in related field, or currently working toward degree. If RHIT eligible, must pass RHIT test within 6 months of date of hire. Current AHIMA Membership. Good verbal and written communication skills. Must be able to communicate effectively with various personality types. Good organizational skills with orientation to detail and accuracy. Ability to relate effectively with medical staff, clinical and nonclinical department personnel. Must coordinate efforts with coworkers to maximize productivity and quality of service. Employee is responsibility for working in a safe manner.