Certified Professional Coder - Full Time Job at Day Kimball Healthcare
Certified Professional Coder - Full Time
Summary
Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Will perform quarterly chart audits to ensure documentation meets ICD-9 as well as ICD-10 guidelines. Additionally, the Certified Professional Coder will provide ICD-10 training for Providers and staff as needed and will be an integral part of the implementation team.
Essential Responsibilities
Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Will perform quarterly chart audits to ensure documentation meets ICD-9 as well as ICD-10 guidelines. Additionally, the Certified Professional Coder will provide ICD-10 training for Providers and staff as needed and will be an integral part of the implementation team.
Essential Responsibilities
- Reviews medical records for completeness and compliance with coding guidelines, in order to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems.
- Reviews and enters all charges for practice billing from Medical Record documentation to ensure that the documentation supports the billed services.
- Documents all coding discrepancies.
- Conducts a review of records to ensure compliance with ICD-9 and ICD-10 coding and documentation guidelines and governmental requirements. Will communicate results to clinicians and assist them, as well as the manager, with understanding clinical documentation
- Conducts quarterly chart audits and with The Director of Professional Revenue Cycle, will hold one-on-one or small group education to clinical staff regarding the results of their periodic reviews while maintaining an exceptionally high level of professionalism; responsible for ongoing education to clinical staff regarding language/terms to use in documenting patient care.
- Reviews, modifies, and recommends changes to policies and procedures to improve professional coding. This includes responsibility for recommending changes to forms and documentation.
- Establishes ongoing communication with Director of Professional Revenue Cycle and others to identify opportunities that would more accurately reflect care that is provided for maximum reimbursement.
Knowledge, Skills and Abilities
- Ability to evaluate information in medical records against verifiable criteria in coding, indexing and abstracting records.
- Ability to devote attention to detail and concentrate on accuracy to keep errors to a minimum.
- Ability to organize work efficiently and effectively.
- Ability to understand documentation and determine correct charges for each case.
- Ability to maintain confidentiality and handle confidential or sensitive information with discretion.
- Ability to adapt to flexible work schedules and interruptions.
- Ability to work independently and make sound and timely decisions.
- Ability to interact with tact and diplomacy with individuals from a variety of backgrounds and organizational levels.
- Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and staff members.
- Demonstrate ability to plan, organize, direct and control flow of communication and tasks within the job duties and responsibilities
Qualifications
- Minimum of five years’ experience in coding, abstracting and charge capture in an office setting
- ICD-9 and ICD-10 proficiency required
- Knowledge of medical terminology required
- Sound organizational, time management, communication, customer service and Microsoft Suite of Products required
- Excellent computer skills, including database management
- Prior experience working for a government institution, managed care carrier or physician practice processing physician enrollments is strongly preferred
- High School Diploma or equivalent is required
- Certification as a Certified Professional Coder (CPC or CPC-H) required
Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day Kimball Homecare, Hospice & Palliative Care of Northeastern CT, Day Kimball Homemakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities. Day Kimball Healthcare’s comprehensive network offers more than 1,400 employees including nearly 300 associated, highly skilled physicians, surgeons, and specialists. Its website is daykimball.org.
Day Kimball Healthcare is an Affirmative Action / equal opportunity employer committed to providing equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected under local, state, or federal laws.
Day Kimball Healthcare is an Affirmative Action / equal opportunity employer committed to providing equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected under local, state, or federal laws.
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