What are the responsibilities and job description for the Specialty Coder position at CHI Saint Joseph Health System?
Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph Hospital primarily serves central and eastern Kentucky with a full range of services including distinguished awards for cardiology orthopedics and stroke care. CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Job Summary / Purpose
The Biller/Coder Specialty is responsible for the appropriate advanced specialty billing/ coding to patient health records for purposes of document retrieval, analysis and claim processing for Radiology. Serves as a resource to other Biller/Coders. Ensures coding is in compliance with guidelines of the organization. If employee is an interventional radiology technician also operates imaging equipment and performs diagnostic procedures under the supervision of a licensed provider. Prepares and maintains records and files as directed.
Essential Key Job Responsibilities
- Accurately abstracts information from the medical records into the appropriate billing/coding systems, ensuring compliance with established guidelines.
- Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to billing/coding and assignment of a Diagnosis Related Group and Ambulatory Payment Classification.
- Bill/Code medical records using current coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.
- Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns coding as appropriate. Provides codes various departments upon request.
- Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided.
- Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify appropriate individuals of any discrepancies’ and collaborates as needed to rectify the account.
- Ensure compliance with coding, billing, and data collection guidelines of the organization.
- May assist with the training of individuals.
- Participate in special projects and/or completes other duties as assigned by manager.
Qualifications
Minimum Qualifications
Required Education and Experience | High School Diploma or Equivalent Required. If performing Radiologic exams: Graduate of an accredited school of Radiologic Technology.
May Either be a Skilled Biller/Coder or Radiology Technician |
Required Licensure and Certifications |
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Required Minimum Knowledge, Skills, Abilities and Training |
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Salary : $25 - $37
