Professional Coding Spec II - Anesthesia

About the role

To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies.

Responsibilities

• Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
• Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
• Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
• Contacts physicians or any persons necessary to obtain information required to accurately code assignments.
• Works and communicates with other offices in any manner necessary to facilitate the billing process.
• Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
• Monitors on an on-going basis provider documentation.
• Performs audits to assess provider coding accuracy and follows up with provider education as needed.
• Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts.

Requirements

• High School Diploma or Equivalent.
• Current HIM/Coding Certification through ONE of the following: American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC).
• Two (2) years of medical coding experience.
• Two (2) years of physician office coding experience (preferred).

Qualifications

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.
• Must be Able to lift, push or pull 10-20 pounds.

Skills and Abilities

• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to handle high stress situations.
• Must be able to adapt to changes in the workplace.
• Must be able to organize and complete assigned tasks.
• Must possess excellent written and verbal communication skills.
• Must meet quality and productivity standards.
• Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description

This is an Anesthesia Coding role Scheduled Weekly Hours: 40 Shift: Day (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis