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7181 Gestión de Información de Salud
HIM Coding Specialist II
NuevoVail Health se ha convertido en el sistema de atención médica de montaña más avanzado del mundo. Vail Health consta de un hospital actualizado de 520,000 pies cuadrados y 56 camas. Estas instalaciones de vanguardia brindan atención excepcional a todos nuestros pacientes, con las vistas más hermosas de la zona, ubicadas en el centro de Vail. Obtenga más información sobre Vail Health. aquí.
Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.
This role is for professional coding queues. Candidates need to have experience with E/M leveling with strong understanding of E/M guidelines, including Medical Decision Making (MDM) and time-based coding with ability to accurately assign diagnosis and procedure codes for professional services.
Ideal candidates will have experience with oncology and radiation coding experience or OB/GYN experience. Epic experience is a plus.
Sobre la oportunidad:
In accordance with Governmental, third party payer, and outpatient rules and regulations, accurately assigns and sequences ICD-10-CM diagnosis, CPT procedural codes and HCPCS codes to ProFee inpatient and outpatient records for use in reimbursement and data collection
Lo que harás:
- Understand and read patient records. Verify patient information to identify any documentation vs. report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient’s account/encounter.
- Codes outpatient professional encounters. Apply codes to conditions and procedures documented in and abstracts data from medical records to provide information for financial reimbursement and data collection, converts interpreted data into appropriate code numbers. Assess documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for an outpatient service. Proficient in accessing and understanding local and national coverage determinations (LCDs/NCDs).
- Recognize and reports unusual circumstances and/or information with possible risk factors to appropriate risk management and department leadership and reports problems, errors, and discrepancies in dictation and patient records to department leadership. While reviewing the record for coding purposes, serves as quality reviewer of scanned documents. Identifies mis-scans and poorly scanned documents and reports them to department leadership.
- Meet coding quality and quantity expectations. Strives to maintain coding within one business day of the account populating the coding queue. Accommodate a varied work schedule including rotating weekend coverage to achieve a three-day-out currency.
- Collaborate with others in the organization including the Quality Department, Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query. As needed, involves department leadership or Coding Supervisor. Promptly address edits and questions from Patient Financial Services within one business day. May participate in various committees as appropriate and prepare and provide provider in-services.
- Attend all required in-services and coder meetings. Identify and attend training and educational programs conducive to professional growth. Utilize current literature and workshops attended to the benefit of the organization. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately.
- Support the philosophy, objectives, and goals of the organization and the HIM department by volunteering in various capacities without compromising performance expectations
- Contribute to the efficiency of the HIM department. Routinely volunteer to assist others when individual work is completed.
- Abide by standards of professional and ethical conduct as defined by CMS, AAPC, and the professional organization from which the incumbent is certified and/or credentialed.
- Understand and comply with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, and informed consent. Is knowledgeable of and compliant with HIPAA, Safety and Compliance Program Policies and Procedures.
- Modela los principios de una Cultura Justa y Valores Organizacionales.
- Realizar otras tareas según sea asignado. Debe cumplir con HIPAA.
Esta descripción no está destinada y no debe interpretarse como una lista exhaustiva de todas las responsabilidades, habilidades y esfuerzos o condiciones de trabajo asociadas con el puesto. Tiene la intención de ser un reflejo preciso de la naturaleza general y el nivel del puesto.
Lo que necesitarás:
Experiencia
- Three years of ProFee coding experience with ICD10, CPT and HCPCS required
- Must achieve department quality and productivity expectations within 90 days of employment.
Licencia(s):
- N/A
Certificación(es):
Se requiere uno de los siguientes:
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Professional Coder (CPC/CPC-H)
- Certified Coding Specialist (CCS/CCS-P)
- Certified Interventional Radiology/Cardiology Coder (CIRCC)
Computadora / Escribir
- Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required. Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc. Use of number pad on keyboard preferred.
- Ability to search resources and/or Internet to locate CMS and third party payer websites for coding requirements and medical necessity guidelines is required.
- Competent in accessing and using an encoder (3M or Trucode) required.
Debe tener conocimiento práctico del idioma inglés, incluyendo leer, escribir y hablar inglés.
Educación:
- Courses in physiology and pharmacology preferred. Graduate of a coding certificate program
- Associate or bachelor degree in health information technology or other allied health field.
Beneficios en Vail Health (tiempo completo) incluyen:
- Salarios Competitivos y Beneficios Familiares:
- Salarios competitivos
- Licencia parental (4 semanas pagadas)
- Programas de vivienda
- Reembolso de cuidado infantil
- Beneficios Integrales de Salud:
- Medicinal
- Dental
- Visión
- Programas educativos:
- Asistencia de matrícula
- Pago de Préstamo Estudiantil Existente
- Reembolso de Certificación Especializada
- Fondos Educativos Complementarios Anuales
- Tiempo libre remunerado
- Hasta cinco semanas en tu primer año de empleo y continúa creciendo cada año.
- Seguro de jubilación y complementario
- Plan de jubilación 403(b) con igualación inmediata.
- Seguro de vida
- Incapacidad a corto y largo plazo
- Beneficios de Recreación, Bienestar y Más:
- Reembolso anual por gastos de bienestar de hasta 1 000 libras esterlinas
- Descuentos en recreación
- Seguro para mascotas
El pago se basa en la educación y experiencia relevantes por hora.
Pago por hora:
$24.74—$34.13 USD