* Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient or outpatient encounters. * Maintains an accuracy rate at or above 95%. * Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. * Extracts required information from source documentation and enters into encoder and abstracting system. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. * Extracts required information from source documentation and enters into encoder and abstracting system. * Reviews daily system-generated error reports to correct or complete missing data elements. * Assists in implementing solutions to reduce back-end billing errors. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. For Inpatient Coders * Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM and/ or ICD-10 CM/ PCS diagnoses and procedures. * Assigns present on admission (POA) value for inpatient diagnoses. * Identifies non-payment conditions (HAC) and when required, report through established procedures. * Reviews documentation to verify and, when necessary, correct the patient disposition upon discharge. For Outpatient Coders * Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-9-CM diagnoses, ICD-10-CM diagnoses and ICD-9-CM/CPT-4 procedures. * Identifies chargeable items for emergency department/ outpatient encounters/visits and enter into billing system.
High School Diploma or GED
Preferred completion of Accredited Associate HIM Program, Accredited Baccalaureate or Master's Health Informatics/HIM Program Degree in Health Information Management or other allied health degree or an AHIMA approved Coding Certificate Program or successful Completion of Coder Certificate Program
Successful score of 85% on "Christus Inpatient Coding Qualifying Test" and/or "Christus Outpatient Coding Qualifying Test."
Two (2) years' progressive on-the-job experience coding with ICD-9-CM and/or ICD-10-CM and CPT-4 coding in a hospital or outpatient setting
LICENSES AND CERTIFICATIONS:
At least one of the following preferred certifications are required:
RHIT (Registered Health Information Technician (AHIMA)), CCS (Certified Coding Specialist (AHIMA)) CPC-H (Certified Professional hospital outpatient facility (AAPC)
Any of the following certifications may be accepted: RHIA Registered Health Information Administrator (AHIMA), CCA (Certified Coding Associate (AHIMA))
Other specialty AAPC credentialed coder certifications may be accepted. Specialty certifications are listed below but are not limited to including specialty such as the following: Certified Professional Coder (CPC®) Certified Interventional Radiology Cardiovascular Coder (CIRCC®) Ambulatory Surgical Center - CASCCTM Anesthesia and Pain Management - CANPCTM , Cardiology - CCCTM, Cardiovascular and Thoracic Surgery - CCVTCTM Chiropractic - CCPCTM Dermatology - CPCDTM Emergency Department - CEDCTM Evaluation and Management - CEMCTM Family Practice - CFPCTM Gastroenterology - CGICTM General Surgery - CGSCTM Hematology and Oncology - CHONCTM Internal Medicine - CIMCTM Obstetrics Gynecology - COBGCTM Orthopaedic Surgery - COSCTM Otolaryngology - CENTCTM Pediatrics - CPEDCTM Plastics and Reconstructive Surgery - CPRCTM Rheumatology - CRHCTM Surgical Foot & Ankle - CSFACTM Urology - CUCTM
Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM, and/ or ICD-10- CM/PCS for billing, internal and external reporting, research, and regulatory compliance while maintaining an accuracy rate at or above 96%. Under the direction of the Inpatient/Outpatient Coding Lead, Director of Inpatient or Outpatient Coding, and the System Director of Health Information Management (HIM), Inpatient Coders will accurately code inpatient conditions and procedures as documented in the ICD-9-CM and/ or ICD-10 CM/ PCS Official Guidelines for Coding and Reporting. Outpatient coders will accurately code outpatient medical records(for example, diagnostic, therapeutic, emergency department services, ambulatory surgery (same day surgery), and observation service encounters) conditions and procedures as documented in the ICD-9-CM and/ or ICD-10-CM Official Guidelines for Coding and Reporting.
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, Clinical Documentation Specialists to ensure the most accurate and complete documentation to support accurate coding/billing.
*** MUST RESIDE IN THE STATES OF TEXAS, ARKANSAS, GEORGIA, LOUISIANA AND NEW MEXICO OR RELOCATE TO A STATE WITH CURRENT CHRISTUS HEALTH OPERATIONS ***
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.