What are the responsibilities and job description for the Health Information Specialist position at Trinity Health?
Employment Type:
Full timeShift:
Day ShiftDescription:
Responsible for coding inpatient and/or outpatient healthcare records by assigning the appropriate ICD classification and/or CPT codes for all valid diagnoses and procedures. This information is used to determine MS-DRGs (Medicare Severity Diagnostic Related Groups) or APC’s (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission.ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Reviews the Electronic Health Record to determine Principal diagnoses, Secondary diagnoses and significant procedures to assign appropriate ICD & CPT codes for data retrieval, research and reimbursement purposes.
Uses 3M electronic encoder and hardcopy coding book to determine appropriate coding guidelines.
Abstracts inpatient and outpatient date into 3M Health Data Management abstract for research projects, quality improvement studies, and statistical reporting.
Utilizes 3M Audit Expert, NCCI & OCE edits, LCD’s & NCD’s to determine appropriateness and completeness of coding and health record documentation.
Codes accounts on a timely basis by payor’s cut-off dates under the “Just-in-Time” philosophy.
Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion.
Enters Observation, infusion, injection charges in Powerchart charge set as appropriate, using compliant physician orders.
Utilizes Software systems for identification of patients/workload to include Vista, 3M HDM, and HealthQuest.
Collaborates with Medical Staff and Clinical Documentation Specialists to ensure that documention in health record supports services provided-to accurately and compliantly assign codes.
Facilitates communication and processes/resolves patient billing and service issues.
Collaborates with members of various ancillary departments to complete special projects, also may serve on both intradepartmental and interdepartmental committees and task forces.
Utilizes written communication skills to respond to recommended coding changes made by external auditors.
Serves as a resource for coding issues to other members of the organization/healthcare team.
Maintains continuing education credits for certification.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participates in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Saint Joseph Mercy Health System. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Behaves in accordance with the Mission, Vision and Values of Saint Joseph Mercy Health System.
Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice. Demonstrates unit/area competencies.
Maintains competency by attending and participating in webinars, seminars and training sessions as assigned.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.