Non-Clinical - Health and Information Management - Medical Coder
Owings Mills , Maryland , United States
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2024-10-28 09:47:11
Job Role : Non-Clinical - Health and Information Management - Medical Coder
Job Location : 10090 Red Run Blvd Owings Mills, MD 21117
Job Tenure : 3+ Months
Descriptions-
TITLE: ED Coder
DURATION: 13 weeks
***Potential for contract to hire if the candidate performance and need align; no guarantees.***
LOCATION: 100% remote - Sinai ED
CANDIDATES PROVIDE THEIR OWN EQIUPMENT AND MUST HAVE RELIABLE HIGH SPEED INTERNET.
SHIFT: flexible but cannot work between 6p & 7p EST
Both contracts are for FT hours (40 hours per week) with the potential for contract to hire position if the candidate performance and need align; no guarantees
JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of ER records with facility E&M levels. Meets departmental accuracy and production standards of 70 charts per day with a 98% accuracy.
ESSENTIAL FUNCTIONS:
Reviews medical records to determine the providers diagnosis/procedures for ER and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures.
Tasks:
• Reviews the entire record for codable information.
• Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.) for guidance on coding as needed.
• Uses LCD and NCDs to help determine medical necessity.
ABSTRACTS - Abstracts predetermined information from ER records and enters that information on to the medical record abstract.
Tasks:
• Enters appropriate information on the abstract as determined by departmental policy and procedures.
• Completes and releases to billing abstracts that are ready to be billed.
• Reviews ER records and calculates and abstracts (enters) nursing care time levels.
• On observation and inpatient encounters admitted through the ER, calculates and abstracts the nursing care time level prior to the patient's discharge.
COMMUNICATES - Assures that co-workers and management are well informed and adequately prepared by communicating information relevant to the coding area or department.
Tasks:
• Prepares and submits a properly completed management production report to the Supervisor and/or Manager weekly and notifies the manager of problems that impact efforts to perform the job.
• Notifies admitting of registration errors.
• Ensures turn-around time and work due dates and thresholds are met by working the daily reports of uncoded cases and keeping work queues up to date.
• Participates in departmental meetings, in services and as requested peer interviews and assists with training of new employees and students as requested.
• Communicates charge concerns to Finance and HIM management.
REPORTS - Works various reports to identify encounters to code.
Tasks:
• Ensures that emails, audits, queries and reports are processed timely.
• Writes queries as appropriate and adheres to the query policy. Follows-up on queries and updates coding and the query as appropriate and in a timely manner.
• Works the uncoded report or uncoded queue.
• Works denials and Medical
MINIMUM REQUIREMENTS:
• Formal working knowledge equivalent to an Associate's degree (2 years college) in HIM, HIT or related field
• 1-3 years of relevant coding experience
• CCS, CCS-P, COC, CPC, RHIT, or RHIA required.
• Must complete 70 charts per day with a 98% accuracy.
*** Due to the potential contract to hire nature of the position, candidates must be from one of the following states***
• Maryland
• Pennsylvania
• Virginia
• West Virginia
• District of Columbia