What are the responsibilities and job description for the Medical Coder (On-site) - Health Information Management position at Wind River Family and Community Health Care?
Thorough knowledge of medical terminology and abbreviations; anatomy and physiology; major disease processes; and pharmacology to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the health record. Skill in correlating pharmacy, laboratory, radiology treatments and results with diagnoses. Extensive knowledge of coding conventions and rules established by the American Medical Association (AMA) and the Health Care Finance Administration (HCFA) for assignment of diagnostic and procedural codes. Extensive knowledge of classification systems and references such as the International Classification of Diseases (ICD), Diagnostic Related Groups (DRGs), Ambulatory Patient Classifications (APCs), and Current Procedural Terminology (CPT).
Knowledge of Health Information Management theory, principal, practices, techniques, concepts, and policies to analyze the health record and participate in performance improvement activities. Thorough knowledge of medico-legal aspects of health information management.
Thorough knowledge of the Privacy Act of 1974 regulations and requirements. Thorough knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule regarding responsibilities for patient confidentiality. Thorough knowledge of JCAHO, HCFA, Medicare/Medicaid, Office of Inspector General, and Wind River Family and Community Health Care policies to ensure the health record complies with regulatory requirements. Ability to initiate and follow through with assignments using established policies, instructions, and accepted practices in Health Information Management. Basic knowledge of quantitative and qualitative processes to analyze health information. Skill in data collection to compile and organize information from reporting and presentation. Basic knowledge of Performance Improvement methodology to track, trend, recommend resolutions, and report status of adverse or quality service. Oral communication skills to conduct briefings and consultation with ancillary, clinical and medical providers. Computer skills to sufficiently abstract data and review/complete the health record. Required to maintain national coding certification either through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Maintains a good working relationship within the Health Information Management department and with other departments.
Knowledge of Health Information Management theory, principal, practices, techniques, concepts, and policies to analyze the health record and participate in performance improvement activities. Thorough knowledge of medico-legal aspects of health information management.
Thorough knowledge of the Privacy Act of 1974 regulations and requirements. Thorough knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule regarding responsibilities for patient confidentiality. Thorough knowledge of JCAHO, HCFA, Medicare/Medicaid, Office of Inspector General, and Wind River Family and Community Health Care policies to ensure the health record complies with regulatory requirements. Ability to initiate and follow through with assignments using established policies, instructions, and accepted practices in Health Information Management. Basic knowledge of quantitative and qualitative processes to analyze health information. Skill in data collection to compile and organize information from reporting and presentation. Basic knowledge of Performance Improvement methodology to track, trend, recommend resolutions, and report status of adverse or quality service. Oral communication skills to conduct briefings and consultation with ancillary, clinical and medical providers. Computer skills to sufficiently abstract data and review/complete the health record. Required to maintain national coding certification either through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Maintains a good working relationship within the Health Information Management department and with other departments.