BUSINESS OFFICE - MEDICAL CODING SPECIALIST

Job Summary

Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10-CM, ICD-10-PCS, CPT, and/or HCPCS codes creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnoses/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to add codes in the computer.

Duties And Responsibilities

• Ensure that records are coded.
• Reviews charts thoroughly to ascertain all diagnoses/procedures.
• Contacts responsible physician in professional manner if diagnosis is not available on chart.
• Coder’s diagnoses and procedure on clinical summary agree with physician’s preference 100% of the time.
• Refers chart to director, if there is a question regarding the diagnosis code.
• Utilizes computerized coding/abstracting equipment.
• Codes all diagnoses/procedures in accordance to ICD-10 coding guidelines.
• Logs diagnoses, procedures and other abstracting data on worksheet to input in the computer.
• Ensures data quality and optimum reimbursement allowable under the federal and state payment system.
• Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues.
• Maintains a good working relationship both within the department and with other departments.
• Participates in educational program and in-service meetings.
• Attends meetings as required.
• Accepts and completes other duties as assigned or requested.
• Maintains patient confidentiality at all times.
• Manages and operates equipment safely and correctly.
• Maintains 92% coding accuracy.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Adheres to dress code, appearance is neat and clean.

About Mountain View

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day.