Remote Coder/Abstracter 36 Hrs

Overview: To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
EEO/AA/Disability/Veteran Responsibilities:

1. Abstracts pertinent information from patient records. Assigns ICD-9-CM or HCPCS codes, creating APC or DRG assignments.
1.1 Analyzes patient medical record and interprets documentation to identify all diagnoses and procedures.
2. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
2.1 Identifies inadequate documentation and clarifies information with the physician with courtesy and tact.
3. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings concerns to the department manager if unable to identify a resolution or a change in policy/procedure is required to correct an issue.
3.1 Utilize professional affiliations in order to maintain current knowledge of developments in the profession.
4. Coding/Billing/HIPAA Compliance: Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to Medicare Conditions of Participation and Official Coding Guidelines.
4.1 Follows Official Coding Guidelines (and approved references) for the assignment of principal diagnosis and sequencing of codes.
5. Records Management
5.1 May retrieve records emergency, ambulatory care, or other patient care areas as needed to code.
6. Release of Information
6.1 Assist patients/providers seeking health information when ROI staff is unavailable.
7. Coding Productivity and Time Management
7.1 Code inpatient/OBV: 4 discharges per hour
8. Monitor Discharged Not Final Billed(DNFB)
8.1 Obtain report and Review/Code/Correct accounts on the Close to Untimely Filing Report at least once per week.

Qualifications:

EDUCATION

High School Diploma required. Minimum of successful completion of a coding certificate program; American Health Information Management Association (AHIMA) approved program preferred. Associate Degree preferred.

EXPERIENCE

Knowledge of the revenue cycle. Knowledge of standards for clinical documentation and documentation improvement. A record of successful interactions with the medical staff, clinical staff, and revenue cycle staff.

LICENSURE

American Health Information Management Association (AHIMA) - RHIT, CCS, CCS-P American Academy of Professional Coders (AAPC) - CPC, CPC-H.