Overview:
We are Hiring.
Location: 100% Remote
About Us
UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
Job Summary
This position is responsible for thorough review of clinical documentation and diagnostic results applicable to extract data and appropriately apply ICD-10-CM/PCS and CPT/HCPCS codes and modifiers for billing and reimbursement, internal and external reporting, research, and regulatory compliance. This position commits to accurate medical coding for the following account types and/or service rendered to patients: emergency department (ED), observation (OBS), Same Day Surgeries (SDS), (Ancillary (ANC), Oncology (ONC), Labor and Delivery (L&D), and Inpatient (IP). Interacts as needed with internal customers to include but not limited to hospital staff, physicians and their offices, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success.
Responsibilities:
- Assign codes for diagnoses, treatments, ancillary services, and procedures according to the appropriate classification system for inpatient and/or outpatient encounters.
- Accurately codes all patient charts using ICD-10-CM/PCS and/or CPT/HCPCS codes and modifiers with an accuracy rate of 96% or higher.
- Contact physicians and other health care professionals when needed or formulate appropriate physician queries for clarification about treatments or diagnostic tests given to patients for accurate code assignment and sequencing.
- Review appropriate provider documentation to determine principal diagnosis, major or non-major co-morbidities and complications (MCCs and CCs), secondary conditions, severity of illness and risk of mortality (SOI/ROM), hierarchal condition categories (HCC), and surgical procedures.
- Extract required information from source documentation and enter into encoder and abstracting system.
- Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to Official Coding Guidelines and AHA Coding Clinic.
- Review daily pre-bill edits and coding errors to make corrections or complete missing data elements.
- Both Inpatient and Outpatient Coders will resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.
- Work collaboratively with HIM Staff and Clinical Documentation Improvement Specialists(CDIS) to ensure the most accurate and complete documentation to support accurate coding/billing.
- Efficiently utilize Coding software and HIMS to abstract required data from patient visits in the appropriate coding assignments and timely billing in accordance with DNFB goals and established hospital policy and procedures.
- Adheres to coding daily productivity standard set forth in hospital policy.
- Attend continuing education workshops, webinars, etc., for coding compliance and maintenance of CEUs.
- Perform other duties as assigned.
Inpatient Coders:
- Inpatient Coders will accurately code inpatient (IP), observations (OBS), and labor and deliver (L&D) conditions and procedures as documented in the ICD-10-CM and/ or ICD-10 CM/ PCS Official Guidelines for Coding and Reporting.
- Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM and/or ICD-10-PCS diagnoses and procedures.
- Assign present on admission (POA) value for inpatient diagnoses.
- Identify non-payment conditions or hospital-acquired conditions (HACs) and when required, report through established procedures.
- Review documentation to verify and, when necessary, correct the patient disposition upon discharge.
- Verifies data and discharge disposition to assure coding compliance.
- Assist CDMP or CDIS team with query status in a timely manner for inpatient.
Outpatient Coders
- Outpatient coders will accurately code outpatient medical records (E.g., ancillary services (ANC) to include diagnostic and therapeutic tests, emergency department (ED), same day surgeries (SDS), and oncology (ONC) service encounters) conditions and procedures as documented in the ICD-10-CM and/ or ICD-10-CM Official Guidelines for Coding and Reporting.
- Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, HCPCS/CPT-4 procedures.
Demonstrates knowledge of coding conventions, rules and guidelines for multiple classification systems and billing practices to ensure reimbursement
Qualifications:
- High School education or GED required.
- Associate or Baccalaureate degree from an accredited HIM Program or successful completion of an AHIMA or AAPC approved Certified Coding Program required.
- Must have and maintain one of the following nationally accepted Certified Coding Credentials (I.e., RHIT, RHIA, CPC, CPC-H, CCA, CCS, NRCCS, CCS-P, ROCC or CHONC).
- Three (3) years progressive on-the-job experience coding with ICD-10-CM, ICD-10-PCS, HCPCS, and CPT-4 in a hospital or outpatient setting preferred.
KNOWLEDGE, SKILLS, & ABILITIES
- Knowledge of medical terminology.
- Demonstrate excellent organizational, computer, written and oral communication skills.
- Demonstrate strong Microsoft Office knowledge skills.
- Must possess working knowledge of Official Coding Guidelines and AHA Coding Clinic.
- Strong time management and critical thinking skills.
Benefits & Perks
• Competitive Pay & Benefits Options
• Paid Vacation, Sick days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
• 401K with Employer Match
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