Share Email Opening Title Coder / Abstractor IV (541)  Category Health Information Services - 7180   Description JOB SUMMARY: Abstracts clinical information from medical records. Assigns appropriate ICD-10-CM and CPT-4 codes. QUALIFICATIONS: ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Must be CCS Certified with a minimum of 3 year's hospital coding experience or equivalent. Assigns ICD-10-CM and CPT-4 codes in accordance with coding and reimbursement guidelines including, but not limited to, the following: Identifies principal and secondary diagnoses and procedures based upon UHDDS standards. Uses seventh character and sequencing conventions. Documentation is present to substantiate codes assigned. Abstracts relevant clinical and demographic information from the medical record. Maintains a control system to assure completeness of the indexing system; enters all corrections in response to system edits and internal controls. Serves as a coding resource for Patient Financial Services. Refers coding and system questions to the supervisor/Director in a timely manner for determination and guideline development. Assists in abstracting and retrieval of data for selected studies requested by Clinical Excellence. Keeps current on coding guidelines, rules and regulations, and new codes. G. Remote coding agreement signed and approved by Director. H. Other duties as assigned. EXPECTED BEHAVIORS: Accuracy: Accurately codes all diagnoses and procedures measured by Coding Quality Audits: 97 percent of all records for which the employee is responsible must be coded accurately to maximize DRG/APC weight. Productivity Level: Laboratory/Radiology coding: 2 minutes/record; Provider Office Visits: 2 minutes/record; Wound Professional Accounts: 2 minutes/record; Recurring Patient Visits: 3 minutes/record; ED/Urgent Care coding: 5 minutes/record; Wound Clinic Accounts: 5 minutes/record; Recurring Oncology: 5 minutes/record; Outpatient Surgery and Short Stay coding: 12 minutes/record; Peripheral vascular coding: 20 minutes/record; Non-CCS Inpatient coding: 20 minutes/record. Productivity Calculation: Laboratory/Radiology coding: 2 mins/record x__________ charts; RCR coding: 3 mins/record x__________ charts; ED/Wound Clinic coding: 5 mins/record x__________ charts; Recurring Oncology: 5 mins/record x__________ charts; SDC/INO: 12 min/record x__________ charts; Inpatient: 20 min/record x __________ charts. Using productivity levels above, calculate hours produced and divide by hours worked. 95 - 100 percent - 2; 80 - 94.99 percent - 1; <80 percent - 0; Abstracted information and codes are accurately keyed into the computer abstracting system. 97-100 percent - 2; 90-96.99 percent - 1; <90 percent - 0. Coded accounts are monitored to assure required fields for each patient type are consistent and complete. Corrects appropriate coding and abstracting discrepancies. Assists Patient Financial Services in clarification of coding vs. reimbursement issues. Seeks assistance only after referring to own resources. Keys abstracted information for selected studies when applicable. Assures accuracy of all abstracted information. Generates reports as requested. Demonstrates ability to embrace and adapt to change. Regularly initiates ideas to improve the efficiency and processes of the department in a positive and productive manner by attending at least 90 percent of monthly departmental meetings. Keeps current on coding guidelines, rules and regulations, and new codes. Maintains productivity and accuracy standards in order to continue remote coding privileges.   Position Requirements EDUCATION AND EXPERIENCE REQUIREMENTS: Certified Clinical Coder (CCS) required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) accepted if CCS certified. Clinical Documentation Improvement Specialist preferred. Working knowledge of the ICD-10-CM and CPT-4 coding systems, medical terminology, anatomy and physiology. Experience in computer operations. A minimum of three (3) years hospital coding experience or equivalent. Types accurately at least 30 WPM. Mandatory Continuing Education: Customer Service, Fire and Safety, Corporate Compliance (including Confidentiality), Infection Control, and education required by regulatory, accreditation bodies, scope of practice, and/or Hancock Regional Hospital.   Full-Time/Part-Time Full-Time   Shift -not applicable-   Sign-On Bonus   Resubmittal due to closure after 120 days open?   Exempt/Non-Exempt   Position Coder Abstractor IV (541)   Number of Openings 1   Exempt/Non-Exempt Non-Exempt   Open Date 11/1/2019   Location Hancock Regional Hospital   About the Organization YOUR HEALTH IS OUR LIFE Hancock Health is an Indiana-based, full-service healthcare network serving Hancock County and the surrounding areas. Our health system includes Hancock Regional Hospital, Hancock Physician Network and more than 20 other healthcare facilities, such as wellness centers, women's clinics, family practices, and the Sue Ann Wortman Cancer Center. A Caring Community Partner Our goal at Hancock Health is simple: To give every person the personalized attention necessary for a happy, healthy life. Our mission, vision, and values embody this goal. OUR MISSION To be a Caring Community Partner by healing, improving health and wellness, alleviating suffering, and delivering acts of kindness one person at a time. OUR VISION To be nationally recognized for kindness in the delivery of excellent quality patient care, efficient and effective operations, the adoption of proven technologies, the creation of a positive workplace environment, and excellence in community service. OUR VALUES Exceptional | Honorable | Devoted | Reliable | Kind   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.   This position is currently not accepting applications. To search for an open position, please go to http://HancockRegionalHospital.appone.com WE ALSO RECOMMEND Other Jobs Within Same Category -- None found -- Other Jobs Within 60 Miles Payroll Specialist (257) in Greenfield, IN Posted on: 3/29/2024 [Apply Now] Resource Team RN (652) in Greenfield, IN Posted on: 11/3/2023 [Apply Now] Resource Team RN (652) in Greenfield, IN Posted on: 9/15/2023 [Apply Now] Director, Chaplaincy (120) in Greenfield, IN Posted on: 3/29/2024 [Apply Now] Labor & Delivery Staff Nurse, RN (306) in Greenfield, IN Posted on: 1/5/2024 [Apply Now]

Click here for technical assistance.