Accountable for training associates in accordance with official coding guidelines, regulatory standards, DRG assignment, APC methodology and coding principles to ensure corporate compliance in all areas of the coding position. Responsible for ensuring effectiveness of training by performing coding and DRG assignment audits.
POSITION DUTIES: Train associates on coding guidelines, regulatory standards and principles. Perform coding and DRG audits. Ensure accuracy and timely coding for patient services. Coordinate schedules and follow-up on edits. Utilize effective training skills, ethical practices, official coding guidelines, and regulatory standards to train new and existing associates in principles of ICD-9-CM and CPT coding. Monitor effectiveness of training to ensure accuracy and completeness. Re-trains as necessary. Apply official coding guidelines and regulatory standards to performance of coding medical records so that CHN meets the ethical and legal standards set by regulatory and governing agencies. Review medical record documentation so that coding substantiates appropriate reimbursement of accounts receivables. Meet CHN coding quality standards. Maintain coding pre-bill exception dollars in accordance with CHN goals. Meet CHN coding productivity standards to achieve and maintain coding pre-bill accounts receivables so that cash flow goals and billing deadlines are met on a continuous basis. Research and initiate activity to resolve complex charge processing and coding issues. Coordinate completion of billing reminders to ensure timely resolution of coding/billing issues. Recognize potential for additional coding revenues and recommend procedures for implementation. Level 2 ï¿½ Proficient (in addition to above duties) Enter information on computer to track or maintain department information. Provide assistance with special events and/or projects as requested.
Level 3 ï¿½ Subject Matter Expert (in addition to above duties) Assist the Manager/Director as requested in review and update of department functions and procedure revisions. Participate in quality improvement measures.
Qualifications: POSITION REQUIREMENTS:
Education Required: High School Diploma with college-level medical terminology, anatomy, and physiology. Preferred: Associate or Bachelor Degree in Health Information Technology
Licensure Required: Preferred: Registered Health Information Administrator (RHIA) / Technician (RHIT)
Certificates Required: RHIA, RHIT, or Certified Coding Specialist (CCS) Preferred: RHIA or RHIT
Experience Required: Four years in all patient types in hospital health information coding field. Preferred: Five years in hospital health information coding.
Skills Required: Hospital ICD-9-CM (ICD-10) and CPT Coding and DRG and APC assignment for all inpatient and outpatient service lines, communication, interpersonal, team-building, self-motivation, detail-oriented, and accountability. Ability to train associates in the application of coding. Ability to develop and communicate schedules and assignments. Preferred: Above plus collaborative, critical-thinking decision-making, and detail-oriented.
Knowledge Required: Extensive knowledge of Official ICD-9-CM and CPT coding guidelines, Uniform Hospital Discharge Data Set (UHDDS) guidelines, Correct Coding Initiative. Medical terminology, anatomy & physiology, disease process, pharmacology, laboratory values benchmarks and pathology. Ability to read and understand medical records and hospital course, DRG and APC assignment. Ability to analyze and solve problems and make evaluative judgments. Preferred: Required plus coding software and computer mainframe interfacing.
Technology Required: Basic computer skills, ICD-9-CM and CPT coding, DRG and APC assignment.
Job: Medical Coding
Primary Location: Tucson, Arizona
Facility: Carondelet St. Joseph's Hospital
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005001591
About Carondelet St. Joseph's Hospital
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.