This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts. Completes coding for all accounts on a timely basis within the four day bill hold time frame. This position also follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and meeting department productivity standards.
This position researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner.
Under direct supervision of the Manager of Professional Services, performs audits of medical records for compliance with federal coding regulation and guidelines. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position collaborates with Coding Educator to provide training and education to Coding and Medical Staff. This position also assists with coding production, as needed; reviews and resolves coding issues related to billing; researches complex coding issues and participates in process improvements related to coding and EM management.
This mid-level level position performs all the duties of the HIM Technician and advanced duties such as general ROI requests, patient portal inquiries, MPI edits, importing of documents or charts, and research of chart requests in multiple systems in compliance with organizational policies and HIPAA and government regulations. Maintains the confidentiality of our patient's protected health information. At all times, ensures that only authorized individuals have access to the patient's health information. Recalls charts from offsite storage, other clinics, or specific areas to ensure complete charts are provided when necessary. Monitoring and completing transcription work queues. This position is also responsible for resolving problems with documents such as missing medical record numbers, wrong document name, etc.. Assists HIM Management with special projects. This position is required to cover weekends and holidays and may be assigned to a second or third shift.
The Supervisor, Professional Services Coding is responsible for the planning, coordinating and managing of daily operational functions of the team to include developing and implementing an efficient coding review and audit processes and an internal compliance audit plan. This position manages the budget, sets productivity standards by performing analysis of the daily workload of assigned staff and provides leadership with reports by service line, divisions and providers. This position assists with internal and external coding audits and with documentation education for providers and coders. Additionally, oversees the day-to-day production of the charge entry staff and ensures that charges are timely and accurate for both the facility and the professional revenue as needed.