We are recruiting a Community Care Coding Specialist to join our ScionHealth Team. 

This a remote position.

Job Summary:

Analyze and translate healthcare diagnosis, procedures and medical services taken from physician documentation, such as History & Physical, Consults, Progress notes and Operative notes, into alphanumeric codes that are captured in an encoder in order to populate a DRG (Diagnostic Related Groupings). These will be used to create bills for submission to Medicare or health insurance companies in order to receive hospital payment for services provided.

Essential Functions: (Those functions that the individual who holds the position must be able to perform unaided or with the assistance of reasonable accommodation).

• Provide consistent, accurate, and timely coding of medical records for appropriate billing and/or data collection. To provide guidelines for adherence to the Corporate Compliance Initiatives regarding the requirements applicable to Medicare’s Prospective Payment System for long-term acute care, ARU’s and Behavioral Health facilities.
• Code all admissions within 1 business day of registration based on the presence of the history and physical.
• Code operative procedures within 2 business days of receipt of documentation.
• Code information provided by the facility from paper patient records within two business days of notification.
• Attend weekly CCDI/Coder calls with HIM and CM in attendance at each facility to discuss possible DRG progressions and documentation opportunities.
• Code discharge patient records within four business days and prioritize high cost accounts.
• Correspond with CCDI regarding coding and documentation issues utilizing coding/CDI software.

Knowledge/Skills/Abilities/Expectations:

• Knowledge of the principles of coding guidelines and conventions.
• Expertise and credentials in medical coding.
• Ability to organize and prioritize work in order to meet job demands.
• Ability to communicate effectively and present information in an organized manner on a routine basis.

• Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Ability to maintain a good working relationship with peers, superiors and subordinates while working under stressful situations.
• Ability to manage several projects/tasks simultaneously.
• Technical understanding of coding operating systems (hardware and software).
• Communicates effectively and exhibits courteous behavior when dealing with coding department employees, as well as hospital employees served.
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Approximate percent of time required to travel: 0% 
• Performs other related duties as assigned.

Education:

High School or equivalency diploma or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits.

Licenses/Certification:

Must have one of the following: CCS, CCA, CPC, RHIT, RHIA, RN, CPC, COC

Experience:

5 years experience as a medical records coder in a health care facility; 

Depending on Candidate’s qualifications, we may fill this at a different level.