Job Details
Description
Reviews a patient’s medical records after a visit or procedure to translate information into appropriate diagnostic, and procedural codes that insurers use to process claims.
Assigns appropriate diagnostic codes and procedural codes as it pertains to the job following Official Coding Guidelines. Reviews of facility charges to ensure appropriate and compliant coding and billing. Demonstrates a professional attitude, knowledge, demeanor and execution of duties. Assures conformance with federal, state and accrediting agency standards. Performs related duties as assigned.
Compensation & Benefits
The hourly wage for this opportunity is $23.51/hour to $35.27/hour, with a median wage of $29.39/hour. Pay is dependent on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package that includes a retirement savings match, tuition and certification reimbursement, paid time off, and health and wellness benefits for .5 FTE and above.
Primary Job Responsibilities
- Assigns appropriate codes based on the documentation within the medical record.
- Complies with medical coding guidelines and policies
- Audits charges and billing modifiers to ensure appropriateness and add as needed.
- Strives to maintain productivity standards defined by job duties.
- Strives to maintain a coding quality standard of 95% and to maintain acceptable turnaround time.
- Utilizes all references available including 3M encoder and reference package, ICD-10 and CPT code books, and government websites to ensure appropriate coding.
- Monitors incomplete records for efficient turnaround time.
- Follows HIPAA, Joint Commission, CMS, Gillette, and state guidelines
- Understand NCCI guidelines, Medical Necessity, NCD and LCD’s.
- Work with billing/follow-up to troubleshoot denials
- Communicates with all facility departments and staff in a professional manner.
- Responds to customer requests promptly and appropriately. Follows up when necessary to make sure customer’s needs are met.
- Demonstrates competency in organizational systems including Microsoft Office, electronic medical record, online resources, and other relevant technology to perform all necessary coding functions.
- Adheres to all organization and department policies, guidelines, workflow to eliminate errors in practice.
- Adheres to organization and department attendance policy.
- Independently completes annual training as assigned.
- Completes self-assessment timely and with contributing comments.
Qualifications
Required
- RHIA, RHIT, CCS, CPC, or CCA at time of hire or must be obtained within 6 months of hire.
- Personal computer experience using data base, spreadsheets, and word processing software
- Understanding of physiology, anatomy, and medical terms
Knowledge, Skills and Abilities
- Coder must have proficient knowledge in medical terminology and codes, hospital policies, and government regulations.
- Must have clear communication and active listening skills to interact with a diverse staff and diverse functions.
- Position requires problem solving skills for both straightforward and complex coding concerns.
- Must be well-versed in conflict management and stay level-headed and positive during stressful situations.
- Must have an attention to detail in order to accurately identify coding and billing errors.
- As an independent worker, this position requires organizational and time management skills to maintain workload and productivity.
- Must be able to adapt to an ever-changing role with evolving responsibilities.
- Coder must be able to collaborate with others and work as a team. Must be proactive in setting up oneself for success to ensure tasks get done on time and with minimal supervision.
Preferred
- ICD-10: 1-year coding experience
- Medical Field: 1-year experience
Gillette Children’s is committed to recruiting and retaining a diverse team, as we know that the diverse experiences of our employees make Gillette a stronger and better organization. We are committed to creating an equitable and inclusive environment where all patients, families and staff are welcomed and valued. We believe diverse perspectives and identities foster excellence, improve patient care and are essential for Gillette to fulfill its mission. Our team members collaborate to help patients of all backgrounds and abilities reach their full potential.
Gillette Children's Specialty Healthcare is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws.
We partner with individuals and families to provide specialized, coordinated care for individuals who have complex, rare or traumatic conditions starting in childhood.
To learn more about working at Gillette Children's Specialty Healthcare, please visit https://www.gillettechildrens.org/careers.
Gillette Children's Specialty Healthcare participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit https://www.e-verify.gov/ for further details regarding e-verify.
