HIM Coding Specialist

JOB SUMMARY:

It is the responsibility of the Health Information Management Coding Specialist (H.I.M.) to manage the medical records agency-wide assuring the accurate and proper maintenance of patient information and medical records in accordance with agency policies and procedures and in compliance with requirements set forth by external regulatory agencies. Accurately performs coding on all diagnoses, procedures, professional services using ICD-9-CM, ICD-10-CM, E & M, and other CPT codes. The coding function provides/patient continuity, accurate database information, and the ability to optimize reimbursement. The H.I.M. Coding Specialist

will serve as a resource to Patient Family Care Coordinators, Team Assistants and other Hospice staff.

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Associate Degree in Health Information Management required or an RHIT; or other coding credentials in lieu of degree.
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures and governmental regulations, as well as documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers, patients/families or employees.
• Knowledge of medical terminology and ability to demonstrate essential usage.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Ability to operate a facsimile, copy machines, computers and other common office machines, with working knowledge of MS Word, Outlook, Excel and other software appropriate to positions.

ESSENTIAL JOB RESPONSIBILITIES:

Include the following. Other duties may be assigned.

• Maintains the agency’s medical records within standards established for healthcare.
• Consistently audits medical records to ensure compliance with state and federal licensure regulations and accreditation standards.
• Monitors physicians initial/recertification orders and face to face encounter process to ensure compliance with CMS guidelines.
• Completes physician orders software process.
• Monitors new admission packets for completeness and notifies responsible staff member of deficiency.
• Reviews medical records to ensure all entries are signed, assembled in correct chart order and contain required forms.
• Completes chart deficiency process.
• Completes daily discharge audit process.
• Completes closed chart review process.
• Files medical records forms in correct chart and order.
• Monitors transcription files for accuracy and availability for signature daily.
• Completes ICD-9-CM, ICD-10-CM, E & M, and other CPT coding for billing hospice patients, physician services and other companies as assigned.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; walk; use hands to finger, handle, or feel objects, tools, or controls; stand and reach with hands and arms; to talk and hear. The employee is occasionally required to stoop, kneel, or crouch.

• The employee must occasionally lift and/or move up to 25 pounds.
• Physical ability to access any home, hospital, Nursing Home, Doctor’s Office, or Assisted Living Facility.
• Ability to communicate with customers and provide feedback.
• Frequent use of hands and arms to reach, lift, carry and move objects.
• Specific vision abilities required by this job include close vision, distance vision, and color vision.
• Noise level in work environment is usually moderate.

Hospice of Marion County is an equal opportunity employer, providing equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

*Drug Free Workplace*