Nuvance Health Careers

Description

Summary:

Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance.

Responsibilities:

� Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. � Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. � Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient�s acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. � Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. � Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. � Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. � Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. � Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. � Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. � Achieves the organization's established expectations with regard to customer service, teamwork and safety. � Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. � Fulfills all compliance responsibilities related to the position. � Performs other duties as assigned.

Other Information:

Essential: CPC, COC, CCS, or CCS-P certification Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. Experience in acute care coding with outpatient records. Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology. Education * HS Graduate or Equivalent

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Some occupational risk

Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force

Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.

Company: Western CT Health Network Inc

Org Unit: 1853

Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING

Exempt: No

Salary Range: $24.92 - $46.28 Hourly