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Job Objective: A brief overview of the position.
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Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines.
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Reports to
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Manager-Coding and Charge Capture
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Supervises
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N/A
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Ages of Patients
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N/A
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: High School Diploma, GED or higher level degree
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Licensure/Certification
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Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT
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Experience
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Required: Two (2) years of experience in coding as a certified coder
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Preferred: Physician coding for inpatient, outpatient and procedures
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Ensures quality of work performed through regular audits maintaining a 95% accuracy rate.
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Maintains daily productivity based on departmental standards.
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Sequences the ICD10 diagnoses and procedures using coding guidelines.
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Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges.
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Creates and submits providers queries when documentation does not support the code provided.
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Communicates with providers, office personnel and management personnel for needed documentation for accurate coding.
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Reviews Claim edits related to coding such as LCD,NCCI and MUE’s and assists with corrections for clean claim submission.
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Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-10-CM and/or CPT coding, HCPCS conventions.
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Assists with research and development and presentation of continuing education programs on areas of specialization.
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Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions.
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Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information.
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Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions.
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Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
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Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
