End Date: 9/1/2022
Location: Elkton, Maryland
Position Type: IT & Technical Operations
Shift: Day Shift, No Rotation
Responsible for accurate and timely assignment of ICD-10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records for which HIMS Department performs coding services.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient records in order to assign appropriate ICD-10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices.
Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and to support calculation for severity of illness and risk of mortality reporting.
Follows UHDDS definitions, CMS regulations and Official and Internal coding guidelines.
Utilizes information on diagnostic reports (i.e. radiology, pathology, EKG reports, laboratory values, doctors' orders and administrative medication forms) to accurate code patient charts in accordance with the Official Coding Guidelines.
Completes daily work assignment as directed by Coding Support.
Works within service line structure where applicable based on patient type.
Abstracts pertinent data, determines and sequences codes for diagnoses and procedures, and enters all information into the computerized coding and abstracting system.
Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures, including but not limited to placing accounts on hold, to ask questions to management, and initiate queries.
Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment.
Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations by work type in order to support department and organization goals for DNFB dollar amounts and bill hold days.
Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes in coding system as required for accurate posting to CCHS billing system.
Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support the accurate reporting of coded data for severity of illness and risk of mortality.
Utilizes coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the proper CPT code hierarchy.
Submits timely, accurate and concise daily productivity reports in accordance with department policy and practice.
Attends and participates in coding section and department meetings, in service training sessions, seminars and workshops.
Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies as they are noted during daily work performance.
Utilizes general office equipment and computer systems and software applications as necessary to perform work functions.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as required.
SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:
Daily contact with intradepartmental personnel
Occasional contact with clinical, ancillary, and Information Services staff
Occasional contact with physicians and physician office staff
Occasional contact with the public
DIRECTION/SUPERVISION OF OTHERS:
Immediate: Coding Manager
Indirect: Coding Coordinator
Associate Director Coding and Data Quality
Dept. Head: Corporate Director, HIMS
EDUCATION AND EXPERIENCE REQUIREMENTS:
College Diploma in Medical Coding or one year coding experience in a healthcare environment required.
Associate or Bachelor Science degree in Health Information Technology preferred.
KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:
Knowledge of ICD and CPT Coding Guidelines and Principles
Strong knowledge base of anatomy and physiology and medical terminology
Working knowledge of pathophysiology and basic pharmacology
Knowledge of Official Inpatient and Outpatient Coding Guidelines
Ability to review medical records and make accurate decisions
Ability to act independently within established guidelines
Ability to maintain confidential information and materials
Ability to exercise judgment, tact, and diplomacy
Strong communication (written and verbal) and interpersonal skills (teamwork required)
Ability to utilize computer systems/software applications as necessary
Ability to make decisions and apply judgment
Ability to work well with others as a team
Must be flexible, versatile, and adaptive
Sitting for long periods of time utilizing a computer
Daily lifting or carrying large books (coding/reference books)
Frequent deadline situations requiring incumbent to work under pressure
Routine Office Environment
EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.
“Both as a patient and a caregiver, I have witnessed our core values of love and excellence firsthand.”
“I am so proud to be a part of ChristianaCare due to its emphasis on our core values of Love and Excellence.”
Director, Employee Health
“What started out as a temporary assignment has taken me on a career journey as a Medical Assistant to my current role as a Social Worker.”
“During our COVID-19 response I witnessed each of us coming together, not only as individual teams, but as an organization.”
Administrative Services Coordinator
“For me, ChristianaCare is a place of personal growth.”
Conference Support AV/IT Analyst
“I have been with ChristianaCare for 9 years. Through these 9 years, I have really been able to grow my career and apply my talents within the company.”
Manager, Practice Operations
“ChristianaCare is deeply committed to professional development. As we seek new knowledge and continuously improve through feedback, we support our case managers through the achievement of professional certification in case management.”
Vice President, CareVio
Senior System Analyst, Talent Group | Remote | $10,000 Sign On Bonus
Day Shift, No Rotation
Senior Network Center Operations Analyst
New Castle, DE
Day Shift, No Rotation
Associate Computer Support Analyst
Evening Shift, No Rotation
Analyst, 340B Program
Day Shift, No Rotation
Business Intelligence Developer
Day Shift, No Rotation
Why do WE offer careers full of possibilities?
At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.
Why do we embrace inclusion and diversity? For the Love of Health.
We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.
ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.
At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.
Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.
Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!Why Delaware? Why Maryland?