%3Col%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EAssigns, analyzes, sequences and validates codes based on medical record documentation using the automated encoder, book and other coding compliance and reimbursement resources as needed.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EDemonstrates complete understanding of Official Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology to appropriately code complex outpatient encounters; including but not limited to clinics such as oncology/infusion clinics, outpatient surgery, observation encounters including infusion and injection procedures.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EReviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for hospital reimbursement. %26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EReviews the appropriate documentation to enter/update charges as necessary in order to apply the correct procedure code(s), date of service, appropriate modifiers.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EEnsures that coding compliance, regulatory and reimbursement requirements are met. %26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EAbstracts pertinent information into the coding abstracting system and hospital billing system as needed. %26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EAssess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and hospital reimbursement.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EReconciles medical records to be coded within work queues to maintain or exceed established fiscal departmental goals, and in accordance with departmental procedures.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EMaintains a 95% ongoing accuracy rate based on Medical Record Department performance monitors, third party validation audits and internal/external coding audits.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EConsistently achieves weekly coding output within the minimal productivity standards set by HIS management. %26nbsp;Self-manages and prioritizes work flow to achieve timely submission of claims and optimal coding productivity standards.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EMaintains accurate productivity logs and provides this information to the Coding Manager in a timely fashion.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EAssists in the orientation and development of new coding personnel.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EAssumes professional responsibility for development of skills and ongoing education to maintain active coding certification.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3ERemains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EContinuously monitors medical record documentation, coding and patient financial computer systems, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the Coding Manager to find solutions and implement changes to increase productivity and department efficiency.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EReviews and completes system and coding edits and denials on daily basis. Notifies Coding Manager of trends to aid in resolution of payor, performance or reimbursement issues.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EPerforms all duties and interacts with others in accordance with the Hospital%27s Customer Service standards.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EConsistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.%26nbsp;%3C/span%3E%3C/li%3E%0A%3Cli style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3EPerform other work related duties as assigned or requested. %26nbsp;%26nbsp;%3C/span%3E%3C/li%3E%0A%3C/ol%3E %3Cdiv class=%22OutlineElement Ltr SCXW150378358 BCX0%22 style=%22-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;background-color:rgb(255, 255, 255);clear:both;color:rgb(0, 0, 0);cursor:text;direction:ltr;font-family:%27Segoe UI%27, %27Segoe UI Web%27, Arial, Verdana, sans-serif;font-size:12px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;orphans:2;overflow:visible;padding:0px;position:relative;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;user-select:text;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cp style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3E%3Cstrong%3EOutpatient Health Information Coding and Reimbursement Specialist - Grade S13, Job Code: 7108%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3EAbility to read, write and communicate in English.%26nbsp;%3C/span%3E%3C/li%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3EActive CCS (AHIMA Certified Coding Specialist), or%26nbsp;%3C/span%3E%3Cul%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3ECPC (AAPC Certified Professional Coder), or%3C/span%3E%3Cul%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3ERHIT (AHIMA Registered Health Information Management Technician), or%26nbsp;%3C/span%3E%3C/li%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3ECOC (AAPC Certified Outpatient Coder). %26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3ESuccessful passage of Medical Record Department Outpatient Coding Exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or better. %26nbsp;%26nbsp;%3C/span%3E%3C/li%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3EAt least 1 year of acute care hospital coding experience for complex outpatient encounters, including but not limited to clinics such as oncology/infusion clinics, outpatient surgery, observation encounters including infusion and injection procedures. %26nbsp;%26nbsp;%3C/span%3E%3C/li%3E%3Cli style=%22font-family:Arial;%22%3E%3Cspan style=%22font-size:16px;%22%3EMinimum 6 months of PC windows experience.%26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3C/div%3E
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