CERTIFIED CODER - HOSPITAL

About the Role

Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors. Position Summary: Codes and/or bills the patient's medical record using pertinent information according to departmental and Horizon Health policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.

Responsibilities

• Data entry for the facility software using the electronic health record and any scanned or written reports.
• Uses Athena and 3M Encoder system for each patient appropriately.
• Assign accurate Evaluation and Management codes per the CPT guidelines for AMA.
• Follows Coding Query Policy when communicating with physicians to obtain an appropriate diagnosis for diagnostic tests ordered and to promote coding accuracy.
• Regularly reviews coding changes and regulatory agency requirements; maintain current information concerning Medicare, Medicaid and private insurance regulations specific to coding and billing.
• Assign accurate and complete codes based upon physician documentation.
• Maintain strict observation of rules pertaining to confidentiality and HIPAA.
• Review regularly the "uncoded" patient visit listing and obtain the required information to facilitate release of the claim in the Athena EHR.
• Demonstrates ability to analyze situations and arrive at sound practical decisions.
• Review outpatient visits included in current worklist assignment to ensure that results/reports are available for all tests ordered.
• Demonstrates knowledge and proper use of office equipment and designated computer system.
• Demonstrates ability to prioritize time to meet hospital needs.
• Demonstrates ability to work and communicate with others and willingness to help others accomplish facility objectives.
• Productivity: DNFB coding goals as determined by the Revenue Cycle Director. Monitored by the Health Information Manager.
• The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives.

Requirements

• Registered Health Information Technician/RHIT, Registered Health Information Administrator/RHIA, Certified Coding Specialist/CCS,