SUMMARY:Performs ICD-9, ICD-10 and CPT coding/abstracting of all inpatient and outpatient accounts generated within Piedmont Medical Center, based on medical record documentation and in accordance with established AHA and Tenet coding guidelines.
QUALIFICATIONS: Requirements below represent the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education:Associate degree in Health Information related field required.Formal coding education with knowledge of DRG and CPT assignment strongly required.
Minimum Experience:Three or more years of coding experience in an acute care setting required.
Required Certifications/Registrations/Licenses:CCS, RHIT or RHIA credential in good standing with the American Health Information Management Association (AHIMA) required.Experience in acute care setting and Medicare coding experience of 5-10 years may be considered in lieu of credential.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following with other duties as assigned:
1.Assign ICD-9, ICD-10& CPT codes correctly with a coding error rate of less than 4.5%, in accordance with established guidelines. Utilize the 3M encoder and correctly abstracting information from both inpatient and outpatient records for statistical and DRG/APC assignment purposes.
2.Queries physicians as needed using the appropriate query and/or reviews Clinical Documentation Specialist (CDS) worksheets with follow-up.
3.Participates in daily quality (CARDS) reviews, engaging appropriately with peers and/or manager in case discussion.
4.Completes and provides daily productivity and time log to Coding Manager and/or time keeper.
5.Meet minimum productivity standards of coding/abstracting (charts per hour) according to AHIMA benchmarks, unless otherwise established by department.
6.Review bill hold report daily to maintain coding turnaround in accordance with Tenet Goals.
7.Work collaboratively with the finance department on the ï¿½end of monthï¿½ and working DRG assignments.
8.Work cooperatively and communicate effectively with the business office, patient access staff, compliance team, and HIM department staff and management to identify and resolve coding/billing issues.
9.Serve as a resource for coding related questions, assisting others including orientation/training of new coders as needed.
10.Complete all .edu courses within assigned period of time and attend all mandatory Tenet coding workshops as well as monthly HIM department and coding meetings on site.
11.Demonstrate proficiency in multiple computer systems and Microsoft Office applications as required.
12.Provide weekend rotation coverage.
13.Assist others with responsibilities and adjust work schedule to meet department needs
14.Collaborate with the team to maintain and exceed Tenet DNFC goals
15.Follow attendance policy
16.Uses independent discretion/decision making while effectively working alone
17.Ability to prioritize multiple job tasks.
Primary Location: Rock Hill, South Carolina
Facility: Piedmont Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 1905010810
About Piedmont Medical Center
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.