St. Charles Health System
PB HIM Coding Specialist 2
St. Charles Health System, Myrtle Point, Oregon, United States, 97458
Overview
Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System
St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer
Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION Position Details
TITLE:
PB Coding Specialist II – Advanced Coding REPORTS TO
POSITION: HIM Coding Supervisor DEPARTMENT:
Health Information Management DATE LAST REVIEWED:
May 2024 OUR VISION:
Creating America’s healthiest community, together OUR MISSION:
In the spirit of love and compassion, better health, better care, better value OUR VALUES:
Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY:
The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. Position Overview
The
Professional Fee Coding Specialist II
at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. Essential Functions and Duties
Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Education
Required : High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred : N/A Licensure/Certification/Registration
Required : Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred : Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. Experience
Required : Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred : Familiarity with 3M encoder. Personal Protective Equipment
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. Additional Position Information
Skills:
Position Specific: Knowledge of ICD-10 CM; CPT-4 code assignment; CCI and Medical Necessity edits; modifiers; maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal:
Demonstrates SCHS values of Accountability, Caring and Teamwork; excellent communication skills; ability to interact with a diverse population and professionally represent SCHS; ability to interact with all levels within SCHS and external customers/clients/potential employees; strong team working and collaborative skills; positive attitude; ability to multi-task, pay attention to details, and maintain confidentiality; ability to work in a fast-paced environment. Organizational:
Multi-tasking, independent work, attention to detail, excellent organizational and written/oral communication, strong customer service skills, analytical/problem-solving/decision-making. Language Skills:
Read, write, speak, and understand English. Computer Skills:
Intermediate ability in electronic medical records systems and MS Office; basic experience to record time, obtain work directions, and complete assigned CBLs. Physical Requirements
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors: Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category: No Risk for Exposure to BBP Schedule Weekly Hours:
40 Caregiver Type:
Regular Shift: Is Exempt Position?
No Job Family:
SPECIALIST HIM Scheduled Days of the Week: Shift Start & End Time:
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Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System
St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer
Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION Position Details
TITLE:
PB Coding Specialist II – Advanced Coding REPORTS TO
POSITION: HIM Coding Supervisor DEPARTMENT:
Health Information Management DATE LAST REVIEWED:
May 2024 OUR VISION:
Creating America’s healthiest community, together OUR MISSION:
In the spirit of love and compassion, better health, better care, better value OUR VALUES:
Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY:
The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. Position Overview
The
Professional Fee Coding Specialist II
at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. Essential Functions and Duties
Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Education
Required : High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred : N/A Licensure/Certification/Registration
Required : Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred : Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. Experience
Required : Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred : Familiarity with 3M encoder. Personal Protective Equipment
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. Additional Position Information
Skills:
Position Specific: Knowledge of ICD-10 CM; CPT-4 code assignment; CCI and Medical Necessity edits; modifiers; maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal:
Demonstrates SCHS values of Accountability, Caring and Teamwork; excellent communication skills; ability to interact with a diverse population and professionally represent SCHS; ability to interact with all levels within SCHS and external customers/clients/potential employees; strong team working and collaborative skills; positive attitude; ability to multi-task, pay attention to details, and maintain confidentiality; ability to work in a fast-paced environment. Organizational:
Multi-tasking, independent work, attention to detail, excellent organizational and written/oral communication, strong customer service skills, analytical/problem-solving/decision-making. Language Skills:
Read, write, speak, and understand English. Computer Skills:
Intermediate ability in electronic medical records systems and MS Office; basic experience to record time, obtain work directions, and complete assigned CBLs. Physical Requirements
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors: Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category: No Risk for Exposure to BBP Schedule Weekly Hours:
40 Caregiver Type:
Regular Shift: Is Exempt Position?
No Job Family:
SPECIALIST HIM Scheduled Days of the Week: Shift Start & End Time:
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