106986

 

The Coder – Inpatient, Certified, under the supervision of the Coding Team Leader, is responsible for abstracting clinical information and assigning CPT-4 and ICD-9 codes from medical records and documents to support physician professional fees, including but not limited to, inpatient evaluation and management (E/M) services (e.g. initial admits, consultations, discharges, etc.), bedside and other invasive procedures, global surgical services, anesthesia and ambulatory surgery services in accordance with American Medical Association’s and Health Care Finance Association’s documentation guidelines, American Hospital Association Official Coding Guidelines (ICD-9), American Medical Association’s CPT-4 definitions and instructions, and third party payor guidelines, including Medicare and Medicaid specific policies.  They are also responsible to monitor and follow-up on pending documentation, to assist in the updates of encounter forms to incorporate new and revised codes; to identify areas of educational need; to serve as a liaison and educator between physicians, coworkers and other staff; to research and resolve coding issues; and to answer questions as they relate to documentation and coding, as well as entering professional hospital charges directly into Epic Resolute.

Qualifications:

Required:  

1. High school diploma or equivalent with certification as a RHIT, CPC, or CCS.
2. 2 years Inpatient Professional Coding (or successful completion of the DHS Inpatient Apprentice Program-offered to internal Outpatient Coding staff only).
3. Detailed knowledge of medical terminology, anatomy and physiology and disease process.
4. Detailed knowledge of and how to interpret the contents of a medical record.
5. Detailed knowledge of CPT-4 and ICD-9 coding.
6. Knowledge of reimbursement practices for physician services.
7. Ability to work independently.
8. Establish work priorities and adjust them as the circumstances dictate.
9. Ability to work well in busy area with constant interruptions.
10. Maintain patient and Medical Center confidentiality.
11. PC experience; typing skills; good oral, written and problem solving skills.
12. Energetic and flexible in working as part of the team.

Preferred:

1. One year professional surgical coding experience (CPT).

Essential Physical Functions:

The 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.

1. Ability to sit for extended periods while on the phone or computer.
2. Ability to continuously see fine print and to use the computer for extended periods.
3. Ability to continuously perform fine motor tasks, such as computer, calculator, writing or phone tasks.
4. Ability to work on a ladder while retrieving files
5. Ability to hear and converse on the phone and in person.
6. Ability to safely lift and to push/pull boxes or equipment weighing up to 20 pounds.

St. Mary's Clinic (153)

Madison, WI, US.

Full-Time/Regular

$17.26-$20.74/hour US Dollar (USD)

DHS

28233

40 hours weeky; Hours are scheduled between the hours of 7:00am-5:30pm Monday-Friday. Some travel to other sites on occasion to attend meetings. Occasional overtime, early morning or evening meetings.

N/A