Coder | Coding & CDET | Beacon Health System at Beacon Health Systems in South Bend, Indiana

Job Description:

• JOB SUMMARY
  
  • Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code.
    
    
  
  


• MISSION & VISION
  
  • Mission: To enhance the physical, mental and emotional well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.

    Vision: Our vision is to achieve:
    

    
    
    
    
    • Innovative health care and well-being services of the highest quality at the greatest value
      
      
    
    
    • Easy access and convenience
      
      
    
    
    • Outstanding patient experiences
      
      
    
    
    • Ongoing education involving physicians, patients and the community
      
      
    
    
    
    
  
  


• JOB SPECIFICATIONS
  
  
  
  • Education and Experience
    
    
    
    • The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of coursework in medical terminology, anatomy, physiology and comprehensive knowledge of ICD-9-CM and CPT-4 coding principles. Attainment of certification as either RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician), CPC (Certified Professional Coder), or CPC-H (Certified Professional Coder-Hospital) or CCA (Certified Coding Associate credentialing and maintenance of the certification is required. One year of coding experience is preferred.
      
      
    
    
    • Non-Credentialed : CCCA (Certified Coding Assoiciate) credentialing is required within two years of the start date and applicable for the position. Maintenance of the certification is required. Quality and productivity standards are the same as Level I.
      
      
    
    
    
    
  
  
  • Knowledge & Skills
    
    
    
    • Requires knowledge of medical terminology, anatomy and physiology necessary to code patient medical records utilizing established but specialized technical coding processes.
      
      
    
    
    • Requires knowledge of the fundamentals of DRG assignment and optimization.
      
      
    
    
    • Requires knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system in order to interface with physicians.
      
      
    
    
    • Requires the analytical skills to compile and process patient information abstracted from patient records.
      
      
    
    
    • Requires familiarity with computer data entry.
      
      
    
    
    • Requires accurate typing skills of at least 40 w.p.m.
      
      
    
    
    • An accuracy rate of 92% for inpatient and outpatient records is required for the Level I and II position. An accuracy rate of 95% for inpatient and outpatient records is required for the Coding Specialist position.
      
      
    
    
    • Demonstrates the interpersonal and communication skills (both verbal and written) necessary to interact with staff, physicians, and others.
      
      
    
    
    
    
  
  
  • Working Conditions
    
    
    
    • Works in an office environment.
      
      
    
    
    • May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.
      
      
    
    
    
    
  
  
  • Physical Demands
    
    • Requires the physical ability, motor coordination and stamina to perform the essential functions of the position.