Prefer AS in Health Information Management or related health degree; in lieu of
an AS degree, will consider candidate with high school diploma and a minimum of
1 years relevant coding experience, required.
Minimum requirement: Must hold and maintain a CCS or CCS-P. CPC considered if
candidate obtain CCS/CCS-P after 2 years hospital coding experience per AHIMA
1-3 yrs. using CPT/HCPCS and ICD-10-CM/PCS Outpatient coding in acute care
hospital setting. Must have strong knowledge of coding all Outpatient Hospital
medical records, including Same Day Care/Surgery (SDC/SDS), ERs, Observations,
Recurrings, and Referrals (Lab/X-Rays) required; extensive knowledge of medical
terminology, pathophysiology, and pharmacology, required. Use of 3M Coding &
Reimbursement system, required. Must be familiar with referencing CPT
Assistant, CPT Coding Handbook, Coding Clinics, and AHA Coding Clinic for
HCPCS, required. Knowledge of APCs understand how they are grouped into
classifications. Must be familiar with reconciling surgery schedules to ensure
all SDCs/GEU medical records have been coded and that charges are posted prior
to finalizing accounts in Meditech Magic EHR.
Responsible for coding and abstracting Outpatient medical records in Medical
Magic 5.68 EHR. Reviews/analyzes medical record documentation to assign
accurate and complete ICD-10-CM/PCS, CPT/HCPCS codes in support of internal and
external reporting, and hospital reimbursement. Adheres to Coding compliant
guidelines, including the Official Guidelines for Coding and Reporting, Uniform
Hospital Discharge Data Set (UHDDS), AHA Coding Clinics, AHA Coding Clinics for
HCPCS, and CPT Assistant using 3M s Coding & Reimbursement System (C&RS) as
well as specific payer regulations, and hospital policy. Adheres to AHIMA s
Code of Ethics and Standards of Ethical Coding (2016). Query s physicians when
documentation is incomplete, conflicting, ambiguous, or inconsistent. All
coding activities will be performed in support of the strategy, vision, and
values of CMH. All coding activities must also comply with Corporate
Compliance, HIPAA, and other regulatory bodies governing the practice of Coding
medical records. Must maintain coding accuracy of 90% or better based upon
quarterly audits, both internal and external; preferably 95%.
Columbia Memorial Health is an Equal Opportunity/Affirmative Action Employer.