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Coding Specialist IV

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3151 S. 17Th Street
Wilmington, NC
Job ID: 19358
Date Posted: Feb 29, 2024

Job Description

Description

Why Novant Health?

  • Come join a remarkable team where quality care meets quality service, in every dimension, every time. Let Novant Health be the destination for your professional growth, as you take advantage of the opportunities to advance to other roles and responsibilities!
  • 8 Magnet Designated Hospitals
  • LeapFrog Grade “A” Ratings at Novant Health facilities
  • Novant Health is recognized as one of the Best Places to Work for Disability Inclusion, Forbes Best Employers for Women in 2020, Leaders in LGBTQ Healthcare Equality and 50 Best Places for Women and Managers of Diverse Backgrounds to Work.

 

About the Job - Remote work opportunity in the following states: AL, FL, GA, IN, LA, MS, NV, NC, OK, SC, VA, WY

Location: NHRMC Business Center A

Department: Coding and Revenue Integrity

Full Time Equivalent: full-time

Work Type: 64 Hour Pay Period

Work Schedule:  Flexible work schedule after training, Monday - Friday, with rotating holidays (32 HOURS PER WEEK)

Exempt from Overtime: Exempt: No

Overview

Summary:
Under the general direction of the Coding and Clinical Abstracting Manager, this specialist is responsible for accurate coding of diagnosis and procedures and DRG assignment for all inpatient records, He/She assigns codes from appropriate documentation in the medical record of the patient using appropriate code set classification systems including ICD-9-CM/PCS, ICD-10-CM/PCS, and CPT. The Coding Specialist IV communicates with physicians and professional staff including nursing and clinical documentation specialists to obtain clarification so that the medical record portrays an accurate clinical picture of the care delivered and supports compliant code assignment and reimbursement. This professional is skilled in writing compliant post discharge queries when needed to clarify documentation in accordance with facility guidelines. He/She is responsible for monitoring the Discharges Not Final Billed (DNFB) list, CFB days, and Case Mix Index, and plays an active role in meeting the organization’s revenue cycle goals. This specialist possesses an in-depth understanding of clinical indicators, disease processes, DRG reimbursement, Hospital Acquired conditions, PSI's, and CC/MCC payment impacts. This individual requires little supervision and performs all work independently, with a high degree of autonomy. All work is carried out in accordance with the department’s approved policies and procedures and in compliance with coding guidelines and standards of ethical coding.

 

Responsibilities:
1. Accurately codes all diagnoses and procedures and assigns the appropriate DRG for all inpatient encounters according to the appropriate classification system and in accordance with provisions of the Uniform Hospital Discharge Data Set as well as coding guidelines and all governmental and private Third Party rules and regulations.
2. Abstracts patient information from records of all assigned accounts and enters appropriate data elements into the computerized abstracting system.
3. Works with Coding Auditors, Clinical Documentation Specialists, and clinicians to identify areas for improvement in documentation and collaborates on educational initiatives regarding documentation and DRG assignment.
4. Consistently meets coding productivity target (100%) and accuracy requirements (95% or higher).
5. Communicates with physicians and professional staff including nursing and CDI specialists to obtain clarification, including writing compliant post discharge queries, so that the medical record portrays an accurate clinical picture of the care delivered and supports compliant code assignment and reimbursement.
6. Prepares workload reports and plays an active role in meeting the departmental and organizational revenue cycle goals.
7. Promotes customer satisfaction through prompt and courteous service.
8. Fosters respect for patient privacy by maintaining confidentiality in all phases of work.
9. Completes continuing education required to maintain credential.
10. Performs those duties necessary to ensure all accounts are processed accurately and timely.

Qualifications

  • Credentials: Cert Coding Specialist preferred
  • Education: High School Diploma
  • Experience: Three-Five years in coding/abstracting using ICD-9-CM/PCS, ICD-10-CM/PCS and CPT-4 in an acute care hospital based setting required. Inpatient coding and DRG assignment experience preferred. 

Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence. Performs other duties as assigned. Individual will possess commensurate combination of education, experience and qualifications.

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

  • Our team members are part of an environment that fosters teamwork, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

#JoinTeamAubergine #NovantHealth. Let Novant Health be the destination for your professional growth.

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