HIM Inpatient Coding Resource Specialist
Assists manager and leads with questions raised by coders in the course of their daily work. Engages in training for all new hires and ongoing process changes for the assigned department. Provides employee feedback as needed.
Provides routine daily internal interface with unit/department management and staff, the CDI team, the Quality Department, the Stroke Coordinator, and any other department within the hospital that requests assistance from the coding department.
Follows departmental and current official ICD coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data.
Instructs staff in the use of the 3M HDM and CAC Systems for proper coding and abstracting.
Assists staff with problem solving, routine questions, and customer interaction to ensure positive results.
Performs quality assurance audits and provides necessary training for coding staff.
Assists in the development of programs and procedures to ensure a 95% coding accuracy rate.
Reviews charts that have been returned by payers for DRG challenges.
Maintains current knowledge of coding principles and guidelines as coding conventions are updated to ensure correct procedures are followed by staff.
Participates in coding accounts when necessary to ensure the smooth flow of the department.
Builds and maintains communication alliances with support and related personnel in the IS department, ancillary departments, nursing units and other hospital personnel.
Evaluates, learns and assists in the implementation of new software programs/systems, and other related technologies.
Communicates information to the Lead Coders and/or Manager as needed to ensure a smooth and seamless coding process prevails.
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
Performs related duties as assigned.
EDUCATION: Completion of a 2-year college or technical school curriculum in Health Information Management, or an equivalent combination of relevant education and experience. Preferred is the completion of a 4-year college curriculum in Health Information Management.
EXPERIENCE: Three (3) years of related hospital record coding experience in an acute care hospital setting; preferably in a lead role.
LICENSURE OR CERTIFICATION: Requires one or more of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC2), or Certified Outpatient Coder (COC).
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of ICD-10-CM, ICD-10-PCS, CPT, UHDDS sequencing, MS-DRG, APR-DRG, and APC reimbursement models.
Knowledge of the 3M HDM System for proper coding and other HIM computer applications and software.
Knowledge of coding principles and guidelines and home coding work flow applications.
Skill in the use of HIM computer systems and applications.
Skill in both verbal and written communications.
Skill in the attention to detail to ensure the utmost accuracy for the data entry of medical record information and proper coding.
Ability to prepare training materials and train staff in proper coding methods and techniques to ensure compliance with all federal, state and hospital regulations.
Ability to identify problems and recommend operational solutions.
Ability to read, analyze and interpret professional journals, governmental regulations, and coding
Ability to provide analytical skills and be aware of the importance of position in record flow.
Ability to maintain good working relationships and communication with the medical staff, nursing,
administration and other ancillary departments with the hospital.
Ability to accurately perform multiple tasks and observe strict deadlines.