Medical Records Coding Manager supervises and trains a team of medical coders to ensure medical records are coded with accuracy and completeness. Ensures medical records coding operations follow the latest guidelines and compliance standards. Being a Medical Records Coding Manager maintains required documentation and confidentiality of patient records. Implements processes for coding operations that support the needs of other healthcare partners. Additionally, Medical Records Coding Manager develops and maintains up-to-date knowledge of the latest ICD and CPT coding versions and ensures coders receive updates and training on classification or guideline changes. Is a certified medical coder and the exact type of coding certification may vary based on the clinical setting or a medical specialty focus. Typically requires a bachelor's degree in healthcare administration, a related field, or equivalent. Depending on the setting typically requires the Certified Coding Specialist (CCS) certification. May additionally have the Registered Health Information Administrator (RHIA) credential. Typically reports to a manager or head of a unit/department. The Medical Records Coding Manager supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Medical Records Coding Manager typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Outpatient Coding Specialist
Singing River Health System Administrative Building - Gautier | Full-Time | Day |
2101 Hwy 90
Gautier, Mississippi, 39553
United States
Position Overview DISCLAIMER: This is not necessarily an exhaustive list of
all responsibilities, duties, skills, efforts, requirements or working
conditions associated with the job. While this intends to be an accurate
reflection of the current job, management reserves the right to revise the job
or to require that other or different tasks performed as assigned.
The Outpatient Coding Specialist analyzes and interprets documentation in the medical record ad abstracts the data elements in the electronic medical record. He/She assigns diagnosis-related groups (DRGs) and ambulatory payment classifications (APC’s); completes abstracts for patient data; and works with all medical records regarding coding diagnoses and procedures. The Coding Specialist ensures the accuracy and completeness of assigned diagnosis and procedure codes and validates against the clinical documentation and claim data, establishing principal/first listed diagnosis and secondary diagnoses. Expectation
is for all performed duties to be in accordance with Singing River Health
System procedures and policies, accreditation organization, and governing
guidance and publications for health care employees.
Education License Certification Experience Physical Demands Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work flexible hours. Mental Demands Must maintain a respectable working relationship throughout the organization. Must demonstrate the ability to code and abstract medical records and understand principles of coding/sequencing diagnoses. Must be able to communicate effectively with physicians regarding assignment of diagnoses and validation of codes in the medical record. Must have knowledge of anatomy, physiology and medical terminology; and have knowledge of DRGs/APC’s. Must successfully pass the Medical Records Coding tests (CPT and ICD-10), prior to employment, with a score of at least 70%. Special Demands Work requires the ability to function independently, adapt to workload demands, set priorities, and understand and set goals. Must possess highly developed organizational, planning and management writing skills. Must understand the fundamentals of automated data processing, and be able to quickly gain a detailed understanding of complex computerized and non-computerized information.
High School diploma or equivalent required. Must have completed course work in medical terminology, anatomy, physiology, disease processes, ICD-9/10-Clinical Modification coding, and/or CPT coding.
N/A
Certified (or certified within one year of employment) by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) as a:
- CPC: Certified Professional Coder;
- COC: Certified Outpatient Coder;
- CCS-P: Certified Coding Specialist-Physician-based;
- Or other equivalent coding certification.
Once certified, employee must complete all requirements (including continuing education) to maintain certification.
One (1) year of healthcare-related work experience or coding experience directly applying codes preferred.
Work is mainly sedentary: involves sitting most of the time with regular requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using repetitive motions: substantial movements of the wrists, hands and/or fingers while operating standard office equipment such as computer keyboard copier and 10-key.
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines.
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.). Must have knowledge and skill in using MS Excel. Must have working knowledge of MS Outlook, Word, and PowerPoint. Job requires traveling throughout the SRHS service area – with the employee providing his/her own transportation. Must have a valid driver license.
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