Coding Reimbursement Specialist 2
Company: Renown Health
Posted on: September 21, 2019
The purpose of this coding position is to accurately assign
diagnostic and procedural coding relative to Clinical Inpatient,
Clinical Outpatient, Emergency Department, Same Day Surgery,
Observation, and Ancillary services encounters. ICD-9-CM/ICD-10-CM
and CPT code assignment must be consistent with CMS Official
Guidelines, regulatory agencies and hospital specific bylaws and
guidelines to ensure appropriate revenue reimbursement.
Nature and Scope:
Incumbent will review and analyze health records to accurately
identify relevant diagnoses and procedures and is also responsible
for translating signs, symptoms, or diagnoses utilized by
healthcare providers into appropriate ICD-9-CM/ICD-10-CM codes.
Incumbent must have skill set to:
- Select correct code assignment.
- Select correct method for following inpatient coding groupers
- Assign accurate present on admission indicators.
- Utilizing and understanding research reference material and how
to apply key elements.
- Knowledge of discharge disposition and reimbursement
To appropriately and accurately translate diagnoses and procedures,
interaction with charging departments and healthcare providers may
CPT procedure codes must be also be accurately assigned to
Emergency Department accounts and Same Day Surgery accounts. Also,
in addition to assigning ICD-9-CM/ICD-10-CM diagnoses codes to
Observation accounts, Inpatient Accounts, Infusion Therapy charge
codes must also be accurately reviewed and assigned for accurate
Incumbent must be knowledgeable in Anatomy and Physiology of the
human body, Disease Pathology, and Medical Terminology in order to
understand the etiology, pathology, symptoms, signs, diagnostic
studies, treatment modalities, and prognosis of diseases and
procedures performed. Job responsibilities include diagnostic codes
by proficient analysis and translation of diagnostic statements,
physician orders, and other pertinent documentation leading to
coding accuracy and abstracting of pertinent data elements from
documentation provided. When documentation is incomplete, vague, or
ambiguous, it is the responsibility of incumbent to work in
conjunction with department Leadership to utilize the appropriate
physician clarification process to obtain additional information
that provides a codeable sign, symptom, or diagnosis and/or
physician order. Other responsibilities include:
- Adherence to Health Information Management (HIM) Coding
- Adherence to The Joint Commission (TJC) and other third party
documentation guidelines in an effort to continually improve coding
quality and accuracy.
- Interprets and applies American Hospital Association (AHA)
Official Coding Guidelines to articulate and support appropriate
principal, secondary diagnoses and procedures.
- Responsibility for maintaining coding certification and
referencing current ICD-9 coding guidelines and regulatory
- Contacts the appropriate charging department for assistance in
obtaining physician clarification of diagnoses and/or
- Participates in performance improvement initiatives as
This position is integral to the collaboration and teamwork with
Clinical Documentation Improvement Department and interacts with
health care givers as a team member striving to achieve quality
patient care at Renown Health.
The incumbent must consistently meet or exceed productivity and
quality standards as defined by the HIM Coding Leadership.
Telecommute is allowed with approval from HIM Management.
KNOWLEDGE, SKILLS & ABILITIES
- Knowledge of Anatomy and Physiology, Disease Pathology,
Pathophysiology, Pharmacology and Medical Terminology.
- Knowledge and specific details of coding conventions and use of
coding nomenclature consistent with CMS' Official Guidelines for
Coding and Reporting ICD-9-CM/ ICD-10-CM coding.
- Accurate translation of written diagnostic descriptions to
appropriately and accurately assign ICD-9-CM diagnostic codes to
obtain optimal reimbursement from all payer types, including
Medicare/Medicaid, and private insurance payers.
- Knowledge of clinical content standards.
This position does not provide patient care.
The foregoing description is not intended and should not be
construed to be an exhaustive list of all responsibilities, skills
and efforts or work conditions associated with the job. It is
intended to be an accurate reflection of the general nature and
level of the job.
Minimum Qualifications: Requirements - Required and/or
Must have working-level knowledge of the English language,
including reading, writing and speaking English. Degree in Health
Information Management preferred.
A minimum of 2 or more years advanced coding experience for
multiple patient types in an inpatient acute care facility is
required. Experience in Trauma Level II coding a plus.
CCS and/or RHIT and/or RHIA is required.
Computer / Typing:
Must possess, or be able to obtain within 90 days, the computers
skills necessary to complete online learning requirements for
job-specific competencies, access online forms and policies,
complete online benefits enrollment, etc.
Keywords: Renown Health, Sparks , Coding Reimbursement Specialist 2, Other , Reno, Nevada
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