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Coder II, PBO Coding, Full Time, First Shift

UC Health
Cincinnati, USA
Junior · 1+ years experience
Onsite
Discovered 2 weeks ago

Full Job Posting

Qualifications

  • Minimum Requirements:
  • High School Diploma or GED.
  • Formal education in ICD-9-CM/CPT coding, medical terminology, anatomy, pathophysiology, and disease processes.
  • At least 1 year of acute care coding experience or equivalent relevant experience.
  • Certification in one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
  • Associate's degree in a healthcare-related field.
  • Bachelor's degree in a healthcare-related field.

Preferred Qualifications:

  • Associate's degree in a healthcare-related field.
  • Bachelor's degree in a healthcare-related field.

Responsibilities

  • Coding quality:
  • Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s.
  • Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.
  • Maintains a coding accuracy rating of at least 95% on records assigned.
  • Queries physicians when necessary to ensure documentation supports the codes assigned.
  • Coding productivity:
  • Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.
  • Completes productivity data correctly and timely.
  • Billing edits, coding corrections, DRG changes:
  • Reviews, researches, and resolves claim edits for billing purposes.
  • Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.
  • Accountability:
  • Reviews educational materials thoroughly and takes responsibility for applying this information when coding.
  • Seeks to clarify information and educational material when necessary.
  • Listens actively.
  • Maintains information and resources in an organized manner so that information can be referenced easily.
  • Reviews emails timely and thoroughly and responds when indicated.
  • Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.

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