Coder, Emergency Dept

Description

Providence St. Joseph Health is calling a Coder, Emergency Department to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

The Coder I is responsible for the coding/abstracting of acute-care services within ORC responsibility. This is an entry-level position and coding and abstracting work types may include outpatient, ED facility and/or ED (or other) professional fee accounts.

Responsibilities:

• Reads and interprets documents contained in the medical record to identify and code all relevant diagnoses and procedures by utilizing an encoder program, and following national and PHS ORC coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment.
• Selects principal diagnoses and procedures in accordance with coding and UHDDS standards, CMS requirements, and knowledge of prospective payment systems. Ensures that correct MS DRG is assigned for proper hospital reimbursement. Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting purposes.
• Queries physicians for clarification when conflicting or ambiguous information is present by following appropriate PHS procedures.
• Assigns Present on Admission (POA) indicator accurately for each diagnoses coded, per CMS requirements published in official ICD-CM coding guidelines, and if uncertain, queries the physician.
• Accurately assigns discharge disposition code, paying particular attention to post-transfer program DRGs for proper hospital reimbursement.
• Abstracts medical record information in compliance with CMS requirements and PHS abstracting procedures. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.
• Communicates with coding support staff regarding changes in patient type, canceled admissions, incorrectly indexed reports, and missing sections of charts to ensure complete and accurate coding as well as correct billing of Medicare, insurance companies, and patients.
• Performs follow up tasks, may be included but not limited to:
• Finalizing incomplete coding when requested reports or answered physician queries become available.
• Reviewing and responding to QI review coordinator recommendations on all assigned charts.
• Completing 72 hour/24 hour bundle requests within specified time frames.
• Remains informed of office policies and changes in coding practice and regulatory information. Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as PH&S policies and procedures in all aspects of job performance. Promptly incorporates required changes into work activities.
• Attends and participates in coding section meetings and training sessions.
• Completes AHIMA-mandated continuing education credits and keeps coding credential current as applicable.
• Contributes to team efforts to meet coverage, processing, and quality standards by being cooperative, responsible, and positive. Shares new information with others in the department.
• Promote PH&S as a premier service organization by treating customers with compassion and respect.
• Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.

Required qualifications:

• Coursework/Training: Completion of Medical Terminology and A&P (approved).
• Coursework/Training: Enrollment in an AHIMA-accredited Health Information Technology program or online coding program.
• Proven history of proactively identifying, resolving and escalating issues that impact business and documentation outcomes.
• Track record showing good decision-making skills based upon a mixture of analysis, experience, and judgment.
• Track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment.
• National Certification from American Academy of Professional Coders Or
• National Certified Coding Associate - American Health Information Management Association Or
• National Certified Coding Specialist - American Health Information Management Association Or
• National Certified Coding Specialist - Physician - American Health Information Management Association Or
• National Certified Documentation Improvement Practitioner - American Health Information Management Association Or
• National Certified Health Data Analyst - American Health Information Management Association Or
• National Registered Health Information Administrator - American Health Information Management Association Or
• National Registered Health Information Technician - American Health Information Management Association

Preferred qualifications:

• Associate's Degree in Health Information Technology.
• Coursework/Training: Graduate of an AHIMA-accredited Health Information Technology program or self-study course and a passing score on the national certification examination for RHIA or RHIT.
• 1 year HIM background/experience or equivalent experience working in health care setting or clerical/office setting.
• Epic experience.
• RHIT, RHIA, CCA, CCS, CCS-P, CPC, CPC-H, CPC-PCEDC, or any AAPC or AHIMA coding-related credential; credential-eligible applicants may apply

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 139393

Company: Providence Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 4001 SS RC CODING NWR

Address: WA Vancouver 315 SE Stonemill Dr

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.