Certified Medical Coder/Program Coordinator I/His-Mv

Salary: $37,860.00 - $70,054.00 Annually
Location : Richland County, SC
Job Type: FTE - Full-Time
Job Number: 159065
Agency: Department of Mental Health-DIS Columbia
Opening Date: 12/11/2023
Closing Date: 2/29/2024 11:59 PM Eastern
Class Code:: AH35
Position Number:: 60019727
Normal Work Schedule:: Monday - Friday (8:30 - 5:00)
Pay Band: Band 5
Opening Date: 12/11/2023
EEO Statement: Equal Opportunity Employer
Agency Specific Application Procedures:: You must apply on-line at www.careers.sc.gov. Follow the status of your application on-line.
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Job Responsibilities
With our Agency's mission to support the recovery of people with mental illnesses, we provide a complete array of medical and support services for children, adults, and families throughout South Carolina.
This position is located at the Department of Mental Health, Division of Inpatient Services, HIS Department, 610 Faison Drive, Columbia, SC 29203.
As the Certified Medical Coder, working under limited supervision, you will code and verify all diagnoses and procedures utilizing the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and/or the Current Procedural Terminology (CPT). Ensures proper coding to obtain optimal Reimbursement for billable claims and statistical reporting. Works primarily at Morris Village and floats, when necessary, to all other DIS Inpatient and Outpatient facilities performing both inpatient and outpatient coding.
Responsibilities for this Certified MedicalCoder include but are not limited to:

• Reads and interprets medical record documentation to identify all diagnoses and significant procedures that affect the current inpatient stay; selects appropriateDSM-5 and ICD-10-CM codes and as applicable:
  • Applies ICD-10-CM Coding Guidelines in coding the admission diagnosis.
  • Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, principal procedures, complications and comorbid conditions, other
    diagnoses, and significant procedures that require coding.
  • Applies Long Term Care Coding Guidance in selection of principal admission diagnosis, primary diagnosis, secondary diagnoses, and principal discharge
    diagnosis.
  • Clarifies conflicting, ambiguous, or nonspecific diagnostic information appearing in the medical record by consulting the appropriate physician.
  • Enters diagnostic codes in Avatar system.

Validates supporting documentation and assigns appropriate codes on the Physician Data Collection form following inpatient/outpatient, ICD-10-CM and EM coding guidelines established by AHIMA, CMS, and the National Center for Health Statistics for both inpatient and outpatient physician services.

Codes diagnoses for Medicare Part A stays as guided by both Long-Term Care and ICD-10-CM coding guidelines.

Assists with coding physical therapy, occupational therapy and speech and language pathology ancillary service billing sheets using ICD-10-CM.

Trains and orientates newly hired coders and assists with the training and orientation of Licensed Prescribing Providers (LPPs).

Performs research and presents at the monthly Coding Roundtable meetings in order to keep coders abreast of ever-changing coding rules and regulations.

Works closely with the HIS Director to identify problem areas and helps develop and implement solutions to ensure compliance with applicable state and federal regulations.

Assists with developing, implementing, and maintaining coding policies and procedures. Keeps current with ICD and CPT coding changes and federal, state and private billing regulations and acceptable practices i.e. Medicare, Medicaid, Managed Care, etc.

Minimum and Additional Requirements
State Minimum Requirements: A high school diploma and relevant program experience.
Agency (Facility) Minimum Requirements: Graduate of a Health Information Management program with one (1) year coding experience and possessing one (1) or more of the following credentials: RHIA, RHIT, CCA, CCS, CCS-P, CPC, or CPC-H.
Note: If any Agency Requirements are listed above, applicants must also meet those requirements to be considered for the position
Additional Comments
The selected candidate must have and maintain AHIMA's certification requirements. Knowledge of laws, regulations, policies and procedures relevant to coding. Working knowledge of compliance guidelines, reimbursement and Medicare/Medicaid methodologies (DRG and RUGs), skilled in time management and diplomacy and possessing excellent computer skills to include database management and software proficiency. The selected candidate must have the physical ability to access patient care areas on all DIS campuses and work-related locations. Ability to walk, stand, reach, pull, push, bend, stoop, and lift up to 25 pounds. Position involves a great deal of deal of sitting throughout the day along with the ability to periodically travel to units through-out the campus and to other facilities to code records.
The South Carolina Department of Mental Health is an Equal Employment Opportunity Agency. We provide affirmative action and equal opportunity in employment for all qualified persons regardless of race, color, sex - including the basis of pregnancy, childbirth, or related medical conditions, national origin, age, religion, or disability.
South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. Please account for any and all gaps of employment in your application. A resume will not be accepted in lieu of application completion nor reviewed to determine if an applicant has met the qualifications for the position.
The South Carolina Department of Mental Health offers an exceptional benefits package for FTE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
• 15 days annual (vacation) leave accrual per year
• 15 days sick leave per year
• 13 paid holidays
• Paid Parental Leave
• State Retirement Plan and Deferred Compensation Programs

Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
01
Have you ever been employed by the SC Department of Mental Health?

• Yes
• No

02
If you have ever been convicted of a misdemeanor or felony criminal offense (other than in a Juvenile Court), you MUST list this information (unless you have taken steps to expunge your record.) This includes fraudulent checks, driving under suspension, disorderly conduct, shoplifting, etc. *Please note that conviction of a criminal offense does not bar you from employment in all cases; each conviction is evaluated individually. However, failure to list convictions is considered falsification of the application and WILL BE grounds for termination, if hired. It is your responsibility to know what is on your criminal record. If you have charges on your record that appear without a court disposition (result) you may be asked to provide that information if selected for employment. If you have questions, please inquire before you complete your application.PLEASE NOTE THAT NOT ANSWERING THIS QUESTION WILL DEEM YOUR APPLICATION AS INCOMPLETE AND IT WILL NOT BE CONSIDERED.Please indicate your understanding to this statement by checking the box below.

• Checking this box indicates my understanding to the above referenced statement.

03
Are you a graduate from an accredited college/university of a Health Information Management program with one (1) year of coding experience?

• Yes
• No

04
Do you possess one (1) or more of the following credentials: RHIA, RHIT, CCA, CCS, CCS-P, CPC, or CPC-H?

• Yes
• No

05
Have you ever held a permanent (full-time equivalent) position with a SC state agency and/or been an employee of a SC school district?

• Yes
• No

06
How did you hear about our vacancy?

• SC State jobs portal/careers.sc.gov
• Simply Hired
• Indeed
• College Career Services Center
• Friend/Relative
• Referral from current DMH Employee
• Other (commercials, billboards, etc.) - Please specify.

07
If you answered "Referral from current DMH Employee" for question above, please list name below:
08
If you answered "Other" for question #6 above, please indicate from where below:
09
Please indicate your salary requirements (please be specific and not put "negotiable" or "open").
Required Question