STATEMENT OF PURPOSE:

To ensure correctness of data submitted for reimbursement by reviewing encounter data for accuracy and completeness and assigning numeric codes for each diagnosis and procedure.

ESSENTIAL FUNCTIONS:

• Receives completed daily folders from each facility/department and analyzes each for completeness, accuracy of input and compliance with SLFHC policy and rate schedule
• Reviews patient records and assigns numeric codes for each diagnosis and procedure
• Reads and analyzes medical records to help identify all diagnoses and procedures relevant to the current episode of patient care
• Researches encounter integrity for ICD-9 and CPT links and corrects if necessary
• Confirms encounter information and obtains missing information by reviewing the patients medical records chart
• Clarifies inconsistent, ambiguous or non-specific information in a medical record by consulting with the supervisor or the responsible medical practitioner
• Confirms codes to patients current episode of care
• Notifies Director of Finance when training issues are discovered
• Formulates training sessions or literature pertaining to coding and input issues

ADDITIONAL RESPONSIBILITIES:

• Identifies coding issues and conducts training at the monthly providers meeting
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications and participating in professional organizations
• Participates in in-service/education regarding Quality Improvement
• Performs all other related duties as assigned or requested
• Accountability- Role Model, mission, vision and shared values
• Customer Focus:
  Has a clear understanding of internal customers needs, preferences, timelines and decision-making criteria
  Recognizes that building long-term customer satisfaction is the key to employee engagement
• Teamwork If someone needs help, help them
• Initiative Be innovative, apply fresh ideas and continuously improve how you do your work
• Confidentiality Maintains strict confidentiality and respect the privacy of others
• Ethical Demonstrate consideration and appreciation for co-workers and customer
• Respect Demonstrate consideration and appreciation for co-workers and customer

KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of ICD-9 & CPT codes
• Medical Terminology
• Ability to follow and decipher chart documentation
• Excellent interpersonal and communication skills and the ability to work as part of a team

EDUCATION AND EXPERIENCE:

• High School diploma or equivalency
• College courses in Biology, Medical Terminology, Coding
• Certified Coder preferred
• Three years experience in a medical office environment
• Computer literate

  BASIC REQUIREMENTS

  Education

  [x] High School Diploma or GED

  [x] College courses in Biology, Medical Terminology, and Coding

  [x] Technical Certification: Certified Professional Coder required

  License/Certification

  [x] Certification: Certified Professional Coder

  or

  [ ] years experience in [ ] addition to cert/degree;

  [ ] in lieu of cert/degree

  Specific Degree

  [ ] ___________________________________________

  Skills:

  [x] Bilingual (English-Spanish) Preferred

  [x] Computer literate

  [ ] Typing

  [x] Filing procedures

  [ ] Money handling

  [x] Calculator, office machines, etc.

  Physical demands

  [ ] Balancing [x] Carrying [ ] Climbing

  [ ] Crawling [ ] Crouching [ ] Feeling

  [x] Fingering [x] Grasping [ ] Kneeling

  [x] Lifting 10 lbs. [ ] Pulling [x] Hearing (communicate)

  [x] Talking (communicate) [x] Sitting [x] Standing (mobility)

  [x] Walking (mobility) [x] Vision: far [x] Vision: near

  [x] Vision: color [x] Vision: depth [x] Vision: (w/assistance)

  Exposures

  [x] Airborne particles [x] Muscular strain

  [ ] Chemicals [ ] Caustics

  [x] Electrical current [ ] Fumes

  [x] Noise [x] Odors

  [ ] Sharps [ ] Body fluids

  The above statement reflects the general duties considered necessary to perform the principal functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the job.