Coder

Job Requisition #: JR56982

End Date: 7/31/2021

Location: Newark, Delaware

Position Type: Clerical/Administrative/Billing, Professional

Shift: Day Shift, No Rotation

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PRIMARY FUNCTION:

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.

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.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

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.

Our Values

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.

Benefits

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.

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For the Love of Health

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