Urgent! Clinical Coding Specialist III-- Full Time, Variable Job Opening In Atlanta – Now Hiring Cape Fear Valley Health System
Summary
Thoroughly reviews the entire medical record to code specifically and accurately those conditions or diagnoses that were treated or affected the patient's plan of care.Major Job Functions
The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below.
In addition, specific functions may change from time to time:
Codes all diagnoses, treatments, and procedures according to the appropriate classification system for that category of patient encounter, and in accordance with provisions of the Uniform Hospital Discharge Data Set as well as the interpretation of these provisions as issued by the American Hospital Association and American Health Information Management Association and all governmental and private Third Party rules and regulations
Performs medical record abstracting of hospital admissions for reimbursement and statistical reporting
Concurrently codes LTAC, Rehab and acute care inpatients based on prescribed requirements by payer, using a computerized encoder and DRG grouper
Explains to and communicates with physicians regarding the changing of principal diagnoses on the attestation statement, based on lab and other diagnostic findings, when the record may be subjected to PRO review due to vague attestation/documentation
Assesses the adequacy of documentation to ensure that it supports the principal diagnosis, principal procedure and complications and comorbid conditions that are coded
Works with Clinical Documentation Specialists and Reimbursement Specialists to identify areas for improvement in physician documentation
Assesses OCE, NCCI and CCI edits as necessary to apply appropriate modifiers and make appropriate referrals to revenue departments, claim billers, senior coders and other hospital contacts as needed for accurate claim submission
Analyzes clinical findings to determine appropriate secondary diagnoses for patient severity indices
Uses independent judgment as to prioritizing charts for retrospective coding based on management of the unbilled accounts report
Uses good judgment in determining when to delay billing for obtaining additional documentation to support the assignment of a more optimal DRG
Makes coding supervisor aware of problem issues, negative physician communication and/or other influences that impact effectiveness of job performance
Other duties as assigned
Minimum Qualifications
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Education and Formal Training:
Bachelor's Degree in Health Information Management or equivalent training and experience
RHIA, RHIT, CCS or other equivalent credentials required
Work Experience:
5+ years coding experience required, preferably in a hospital setting
2 years inpatient coding preferred
Experience in a Health Information Management in an acute care facility, or with a Peer Review Organization, in Quality Assurance, or Utilization Review preferred
Knowledge, Skills, and Abilities Required:
Medical terminology, anatomy and physiology, familiarity with medical record content and an understanding of the Uniform Hospital Discharge Data Set (UHDDS) definitions
Knowledge of ICD-CM coding principles under Prospective Payment System
Excellent communication skills required
Understanding that decisions are made with very serious impact affecting hospital reimbursement and PRO review determinations
High degree of interpretation, analysis, planning, coordination, and organization of information
Decisions require intense mental effort and consideration of reimbursement ramifications
Ability to utilize past experience, practices and organization to accomplish goals
Assigns accurate codes using good judgment in a timely manner within broad guidelines
Must be flexible and able to concentrate in a busy, noisy, and crowded environment with demands and interruptions 75% of the time
Physical Requirements:
Near visual acuity required
Motor coordination required to operate computer
Work requires commuting between nursing units and Medical Record Department
Required Licenses and Certifications
RHIA - American Health Information Management AssociationCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
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Unlock Your Clinical Coding Potential: Insight & Career Growth Guide
Real-time Clinical Coding Jobs Trends in Atlanta, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Clinical Coding in Atlanta, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 39235 jobs in United States and 348 jobs in Atlanta. This comprehensive analysis highlights market share and opportunities for professionals in Clinical Coding roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Cape Fear Valley Health System is currently hiring and seeking a Clinical Coding Specialist III Full Time, Variable to join their team. Feel free to download the job details.
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An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Cape Fear Valley Health System adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Clinical Coding Specialist III Full Time, Variable Jobs United States varies, but the pay scale is rated "Standard" in Atlanta. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Clinical Coding Specialist III Full Time, Variable typically include Other Healthcare Practitioners And Technical Occupations and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Before the Interview:To prepare for your Clinical Coding Specialist III Full Time, Variable interview at Cape Fear Valley Health System, research the company, understand the job requirements, and practice common interview questions.
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