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Coding Specialist

Company: Fairview Health Services
Location: Saint Paul
Posted on: May 6, 2021

Job Description:

Overview This is an entry-level clinical coding position for coding specialists without coding experience. Coding specialists analyze clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, levels of service codes; and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coding specialists also resolve clinical documentation and charge capture discrepancies, and provide feedback to providers on the quality of their documentation and charging.

  • Requires being onsite for training and necessary meetings. Responsibilities/Job Description
    • Code and abstract clinical and demographic data for inpatient, outpatient, or clinic encounters using standardized coding regulations, abstracting rules, and Fairview guidelines.
    • Identify and resolve clinical documentation and charge capture discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of charges data reported.
    • Educate multidisciplinary team members, including physicians, as it pertains to frequently changing mandated rules, regulations and guidelines to ensure a complaint claim.
    • Meet departmental quality and productivity standards.
    • Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
    • Knowledge of ICD10 and CPT and related coding/abstracting rules and guidelines.
    • Knowledge of medical terminology.
    • Knowledge of anatomy, physiology, and pathophysiology.
    • Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
    • Proficiency with computer systems, including electronic health record.
    • Critical thinking and problem solving skills.
    • Effective written and verbal communication skills Qualifications Required Education
      • Certificate program in coding or associate degree in HIM or a certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle). Experience
        • None if graduate of a program or associate degree, 1-3 years of healthcare experience (MA, HUC, Revenue Cycle) with a certification. License/Certification/Registration
          • One of the following must be obtained within 2 years of hire:
          • Inpatient Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
          • Outpatient or Professional Fee Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) , Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) Preferred Education
            • Associate or bachelor's degree in HIM Additional Requirements (must be obtained or completed within a period of time): Basic knowledge of Windows-based computer software, telephone and voicemail system, laser printer, copy and fax machines. Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.

Keywords: Fairview Health Services, St. Paul , Coding Specialist, Other , Saint Paul, Minnesota

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