Coding Specialist Sr. Medical Records

Overview

Coding Specialist Sr. Medical Records 

Utilizing 3M encoding system, the Senior Coding Specialist is responsible for accurate assignment of I-10 and CPT codes to inpatient and outpatient medical records for the purpose of reimbursement, research, and compliance with federal regulations.  Coding Staff are required to meet coding quality and quantity standards.  Also Coding Staff are responsible for researching newly identified diagnoses and/or procedures for code assignments. They also perform all other duties as assigned by Manager or Lead Coder.

Schedule: (Full-Time, Benefits eligible)

Location:

Why Nationwide Children's Hospital?

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose.

Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.

We’re 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Children’s Hospital. A Place to Be Proud.

Responsibilities

• Utilizes the 3M encoder system to assign I-10 and CPT codes to inpatient medical records and calculate DRGS.             
• Codes clinic, emergency room, and other outpatient records utilizing I-10 and CPT coding system.
• Codes all cycle bills for Patient Accounts so that an interim bill can be generated.
• Consistently codes 22 inpatient or 35-40 outpatient surgery/OBS records per day and 300 diagnostic accounts per day..      
• Consistently codes at 95% accuracy rate or better (minimum quality standard). 
• Meet weekly coding deadlines to bill within NCH hospital suspense of 6 days.
• Works successfully in a team environment to achieve coding goals and deadlines.
• Utilizes Internet and other resources to research newly identified diagnoses and/or procedures.
• Assists physicians in research projects by identifying the necessary ranges of disease or procedure codes.
• Researches billing issues for Patient Accounts by analyzing edits and account denials.
• Exhibits excellent customer service skills in daily contact with internal and external customers.
• Identifies process problems in daily workflow and takes the initiative to solve them.
• Uses Streamline Health, Provation, Cardio IMS, and Epic to access documentation for code assignments.
• Reviews HIM workqueues for unbilled accts out of deadline and completes coding.
• Performs inpatient and outpatient coding audits at direction of Coding and Compliance Manager.
• Participates in Coding In-service programs and outside educational meetings.
• Completes required on-line coding education modules as assigned.
• Accesses CDI software to populate coding APRDRG and evaluate variances.
• Educate CDS Specialists on I-10CM coding.

•  Communicate with CDS team using CDS Software, phone or in person regarding APRDRG mismatches.

• Query providers to confirm diagnoses, procedures or specificity.
• Performs other duties as assigned by the Coding and compliance Manager.

Qualifications

KNOWLEDGE , SKILLS AND ABILITIES REQUIRED

• Health Information technology program graduate with successful completion of accreditation examination preferred.
• CPC, COC or CCS certification required if RHIT certification not completed.
• Minimum 2-3 years of acute care coding experience preferred.
• Working knowledge of ICD-10CM and I-10 PCS coding, CPT, and DRG’S.
• Epic familiarity preferred.
• Computer literacy required with ability to key entry into 3M quickly.
• Experience with 3M encoder system preferred
• Ability to handle multiple tasks, priorities and deadlines.
• Analytical and organizational skills a must for analyzing charts and data.
• Effective communication and interpersonal skills required with ability to work with physicians and other caregivers regarding coding issues.

MINIMUM PHYSICAL REQUIREMENTS

Must be able to see, hear, speak, read, and perform manual tasks with or without accommodation and care for oneself, with little or no difficulty. Must be able to sit for long periods of time and be able to key entry for the duration of daily shift.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.

EOE M/F/Disability/Vet