Category:Health Information Management
Summary: Thorough knowledge of the inpatient and outpatient payment systems (PPS/OPPS).
- Possess audit skills for coding quality and compliance.
- Knowledge of ancillary testing/outpatient procedures (laboratory, x-ray, EKG, etc.) as they are related to hard coding and/or Charge-Master coding.
- Expert knowledge of national coding guidelines and practices.
- Knowledge of anatomy, physiology, pathophysiology, and medical terminology.
- Broad knowledge of pharmacology, indications for drug usage, and related adverse reactions.
- Experience and competency with the computer, keyboard, Excel spreadsheet creation/usage, internet skills as well as encoding systems.
- Detail oriented, analytical.
- Strong process improvement skills.
- Strong customer service and communication skills.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Successful obtainment and maintenance of an American Health Information Management Association (AHIMA) credential either Certified Coding Specialist (CCS), Certified Coding Associate(CCA), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is necessary. AAPC credentials are also acceptable, such as: Certified Professional Coder(CPC), Certified Outpatient Coder (COC), or Certified Inpatient Coder(CIC).
- Two years of coding experience in ICD-10-CM, ICD-10-PCS and CPT/modifiers is preferred and may be considered as a substitute for the credentials.
- Experience in coding Quality Assurance processes including audits of coding and payment group assignments is preferred.
- Experience with the claim development process and movement of codes from the Charge-Master and/or from HIM Dept. is preferred.
Open until filled