Medical Coder - Spencer Hospital
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Avera Health
Spencer, IA, US
Summary
Assigns accurate medical codes for inpatient and outpatient records using ICD-10 and CPT 4 systems to ensure proper reimbursement and regulatory compliance. Monitors coding backlogs, interacts with clinical staff regarding billing issues, and performs quality review audits to maintain data integrity.
Job Description
Location:
Spencer, IA
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.
Position Highlights
Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital.
Responsibilities:
- Assigns codes to diagnosis and procedures for inpatient and outpatient medical records using ICD-10 and CPT 4 coding classification systems.
- Coding assignments are made for the purposes of reimbursement, research, compliance with federal and state regulations/guidelines and for severity of illness.
- Adheres to regulatory requirements, is ethical in assignment of codes and meets continuing education requirements.
- Complete continuing educations requirements for maintenance of credential(s) and departmental Coding Compliance Plan.
- Monitors the status of coding backlog and unbilled accounts receivable.
- Flexible in moving to various assignments to maximize section efficiency and reduce A/R.
- Interacts with Patient Accounts and Physician Office staff on billing related issues with particular attention to regulatory requirements and ethics.
- Enter necessary charges.
- Assigns E & M code assignments for Emergency, Hospitalist, Wound Care and Behavioral Health physician/provider for billing purposes.
- Routes questionable E & M coding cases to physician representative for clarification.
- Assigns codes for specialty areas such as clinics, oncology etc, which are accurate and meet special regulatory requirements.
- Assigns codes for interim billing purposes (RCA).
- Conduct quality review audits
- Assigns appropriate status on surgical patients
- Validates abstracted data against the medical record and enters additional data elements as appropriate.
- Utilizes critical thinking while completing the abstract for recognition of data elements requiring follow-up.
- Engages in caring and professional communication.
Requirements:
- Associate degree in Health Information/Medical Record Technology (RHIT or eligible) or Bachelors degree in Health Information/Registered Health Information Administration (RHIA or eligible); and/or Certified Coding Specialist (CCS); and/or Associate degree of Applied Science in Medical Secretary Program preferred.
- Hospital or clinic coding experience preferred.
- Experience with EPIC preferred.
- Position has the ability to be remote; must adhere to Spencer Hospital's Home Employment Policy.
Schedule:
- 80 hours per pay period
- Mon-Fri; 8a-4:30p
- The schedule may fluctuate based upon needs of the department
Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more!
Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email [email protected].
Learn more about Spencer Hospital: spencerhospital.org
