Coding Specialist II

Full Time
Zanesville, OH
Posted
Job description

GENESIS HEALTHCARE SYSTEM

In order to fulfill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services,

all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation.

All employees must regard themselves as an "owner" of Genesis and keep our patients at the center of everything we do - always.


Position Details :

DAY SHIFT

FT 30-40 BENEFITS. FTE: 1.000000

Hybrid Employee - Works Remotely and Onsite

Overview of position:

Summary:

The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The incumbent performs ICD-9-CM, CPT and HCPCS coding for reimbursement. The incumbent must ensure accuracy to help provide correct information to various third party payors allowing for maximum allowable reimbursement for services. Must adhere to and comply with established coding guidelines, policies, regulations and accreditation standards.

Essential Duties:

Responsibilities:

  • Maintain discharged not final billed (DNFB) accounts at established department goal level.
  • Optimizes reimbursement, which Genesis HealthCare System is legally entitled, by applying effective coding strategies.
  • Reviews and applies coding and reimbursement resources in a timely manner to ensure an up to date knowledge base.
  • Assigns and reports codes that are clearly and consistently supported by physician documentation in the health record.
  • Discerns clinical notes, uses skills, and knowledge of currently mandated coding and classification systems, and office resources to select the appropriate diagnostic and procedural codes.
  • Assists and educates physicians and other clinicians by advocating proper documentation practices, further specificity and re-sequencing or inclusion of diagnoses or procedures to more accurately reflect the acuity, severity and occurrence of events.
  • Consults physicians for clarification/additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
  • Ensures accurate, complete and consistent coding practices for the production of quality healthcare data.
  • Adheres to the ICD coding conventions, official coding guidelines, CPT rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets.
  • Assists and collaborates with clinical and non-clinical departments regarding proper documentation, coding conventions, and official coding guidelines.
  • Consistently applies coding and reimbursement rules to ensure appropriate coding.
  • Routinely abstracts clinical information from the medical record according to department procedure.
  • Identifies and reports inappropriate coding practices.
  • Assists in training of other staff in computer applications and department procedures.
  • Verifies patient identities to ensure correct filing of patient information.
  • Other duties as assigned, such as special coding projects.

Minimum Qualifications:

Other information:

  • Associates degree, or minimum of two (2) years of coding experience, including clinical data abstraction and coding systems.
  • CCS, CPC-H, RHIA, or RHIT required, or must obtain within 12 months after hire.
  • Knowledge of medical terminology.
  • Coursework in anatomy and physiology required.
  • Demonstrated understanding of various coding and reimbursement systems including ICD, CPT, DRG and ASC, required.
  • Must be able to meet or exceed department productivity and quality standards.
  • Ability to analyze and interpret clinical data with demonstrated critical thinking skills to make appropriate interventions.
  • Excellent verbal and written communication skills.
  • Proficiency in working with PC, Microsoft Office, Lotus Notes or other email, and the internet.
  • Ability to work independently.
  • Must pass the Genesis Healthcare System coding exam with a 90%.

Patient Centered Care & Behavioral Expectations at Genesis HealthCare System:

1. Living the Genesis Mission, Vision and Values:

• Performs work in a manner that is quality focused.

• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.

• Results oriented and focused on achievement of objectives.

• Acknowledges and responds to the diversity of people and the situation.

• Encourages peers (others) to be owners of change.

• Always makes the effort to anticipate and exceed customer needs and expectations.

• Possesses the ability to engage others with patience and understanding.

• Acts in a manner that creates positive first and lasting impressions.

• Demonstrates the ability to own issues until they are resolved.

2. Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers)

• Introduces self and role…connects with everyone.

• Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.

• Asks for and anticipates needs and concerns of others.

• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)

• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.

• Responds to requests in an appropriate and timely manner.

• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.

3. Promotes Patient and Employee Safety

• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.)

• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)

• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment.

• Demonstrates Slips/Trips and Falls Awareness.

• Actively contributes to maintaining a safe, clean and quiet environment.

Working Conditions :

T he physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Working conditions:


Th is description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.

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