Employment Type:
Full time
Shift:
Day Shift
Description:
Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties.
Position Summary:
Responsible for charge capture process for professional charges within the SMHC system, including but not limited to: verifying and/or analyzing medical record documentation to determine the principle and all secondary diagnoses and procedures; and assigning diagnostic and procedural codes using coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and SMHC. Assists in the orientation and training of new employees within the coding and charge capture area.
What the Inpatient Coder will need:
- Education Minimum - Associates Degree in allied health related field, including classes in medical terminology, anatomy and physiology; or two years of increasingly responsible medical records experience with exposure to medical terminology, anatomy, physiology, and coding; or an equivalent combination of education and experience.
- Credentials/Licensure Minimum – Certified Coding Specialist credentialing
- Minimum – One – three (1-3) years of professional coding experience with multiple surgical specialties
- Preferred - prior experience in coding for neurosurgery, thoracic surgery, and / or gynecologic oncology procedures
- Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
- Solid understanding of ICD-9 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
- Ability to maintain accurate records and to prioritize and organize work effectively.
- Ability to exercise independent judgment as appropriate within standard practices and procedures.
What the Inpatient Coder will do:
- Knows, understands, incorporates and demonstrates the mission, vision and core values of Trinity Health and the Ministry Organization in leadership behaviors, practices and decisions.
- Performs PM procedures on multiple types of general and specialized clinical equipment.
- Performs PM procedures using manufacturers' recommendations, standards or code requirements, as well as industry acceptable processes as guidelines.
- Performs Corrective Maintenance (CM) procedures including diagnosing problems using thermodynamic, electronic/electrical, mechanical, pneumatic, hydraulic, and/or other related sciences and documents results of activities performed to comply with all regulatory and standards requirements.
- Notifies equipment users and Clinical Engineering Management of repair status and delays as necessary.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.