Senior Hospital Coder
Ochsner Health
full-time
Posted on:
Location Type: Remote
Location: Louisiana • United States
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Job Level
About the role
- This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight/multi-night stay services and all other complex medical services.
- Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement.
- Works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines.
- Accurately assigns ICD-10 codes within the established coding guidelines, rules and regulations.
- Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes.
- Acts as a resource by researching patient accounts in response to questions and/or errors.
- Consistently complies with established department productivity and accuracy standards.
- Collaborates with the CDI nurse to identify query opportunities for documentation improvement and to ensure accurate DRG assignment.
- Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and Claim Edits.
- Verifies correct discharge disposition based on medical documentation.
Requirements
- Education Required - High School diploma or equivalent
- Preferred- Completion of American Health Information Management Association (AHIMA) accredited coding program with certification.
- Work Experience Required - 3 years coding experience
- Certifications Required - Certification as a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), OR a Registered Health Information Technician (RHIT)
- Knowledge Skills and Abilities (KSAs) Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
- Must have computer skills and dexterity required for data entry and retrieval of information.
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
- Knowledge of ICD-9-CM, ICD-10, and coding principals.
- Excellent decision making, problem solving, analytical and quality management skills. Proven ability to code complicated inpatient cases.
Benefits
- This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
- Ochsner Health is proud to be an Employer of Choice. Ranked one of Newsweek's list of America's Greatest Workplaces for Diversity of 202 4 Becker's Healthcare listed Ochsner Health as 150 Top Places to Work in Healthcare Awarded Culture Awards for Purpose and Values and Healthcare Industry by Top Workplace Ranked as a 2023 Top Workplace in the USA! The Top Workplaces USA award is based entirely on feedback from an employee engagement survey completed by the employees of participating workplaces. Awarded Top Work Places 2023 for six consecutive years by The Times-Picayune Earned 2022-2023 Great Place to Work Certification™ Ochsner Health named to Newsweek's America's Greatest Workplaces for Parents and Families 2023
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD codingCPT codingICD-10 codingcoding guidelinesdata integritymedical documentation reviewDRG assignmentcoding principlesproblem solvinganalytical skills
Soft Skills
effective communicationpresentation skillsteam collaborationdecision makingquality management
Certifications
Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)