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Coder V, Special Hospital Outpatient Surgery
Franciscan Health. Accurately reviews and codes patient records for hospitalist rounds and office visits with repetitive or non-invasive procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including ICD Diagnosis Codes and CPT Procedure Codes, while ensuring compliance with coding guidelines and standards. Proficient in analyzing clinical documentation to support accurate coding and reimbursement processes.
Highest-signal resume keywords
ICD Diagnosis CodingCPT Procedure CodingCertified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Medical Terminology
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Coding AccuracySurgery CodingClinical Documentation ReviewData AbstractionCoding Guidelines Application
Soft Skills
Analytic AbilityAttention to DetailCommunication Skills
Tools & Technologies
Outpatient Code EditorNational Correct Coding Initiative
Certifications & Qualifications
Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)
Industry Keywords
Health Information ManagementAHIMA StandardsCoding GuidelinesPayer Specific Coding GuidelinesQuality of Care
About the role
Key responsibilities & impact- Accurately reviews and codes patient records for hospitalist rounds and office visits with repetitive or non-invasive procedures
- Reviews and analyzes medical records to assign ICD diagnosis codes, CPT procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities
- Evaluates diagnosis and procedure codes and modifiers against Outpatient Code Editor and National Correct Coding Initiative edits
- Reviews clinical documentation to validate the patient's clinical picture, treatment, and diagnoses
- Identifies missing, nonspecific, or inconsistent documentation and obtains clarification
- Identifies and enters data elements for abstracting
- Meets coding accuracy and productivity standards
- Applies coding guidelines independently using discretion and analytic ability
- Supports reimbursement, public reporting, quality of care, financial modeling, strategic planning, and marketing through accurate coding
- Remains current with coding and industry changes through educational opportunities
- Notifies coding leadership of trends and topics for physician and department education
- Assists with process improvements to optimize resources, decrease costs, and improve coding services
- Abides by AHIMA/AAPC Standards of Ethical Coding and official coding guidelines
Requirements
What you’ll need- High School Diploma/GED - Required
- Associate's Degree in Health Information Management - Preferred
- Bachelor's Degree in Health Information Management - Preferred
- 2 years Coding - Required
- Surgery Coding experience - Preferred
- CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) - Required
- RHIT (Registered Health Information Technician) - American Health Information Management Association (AHIMA) within 180days - Required -or-
- RHIA (Registered Health Information Administrator) - American Health Information Management Association (AHIMA) within 180 days - Required
- Thorough knowledge of professional coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines
- Travel is required: Never or Rarely
Benefits
Comp & perks- Comprehensive benefit offerings for eligible employees