University Health Care System Coding Technician (Certified) PRN in Augusta, Georgia
The Coding Technician is responsible for accurately assigning ICD-9 and/or ICD-10,and CPT codes to inpatient and outpatient episodes of care. Follows coding and billing guidelines as they relate to compliance. Accurate coding is vital to the financial security of the hospital and in providing statistical data to benchmark with other hospitals. This is a highly responsible technical position with a great deal of independent judgement when coding patient records and assigning DRGs/APCs. Diplomacy and tact must be exercised when dealing with all physicians.
EducationCertified Level: High School graduate or equivalent and successful completion of coding certification exam administered by AHIMA or AAPC (CCS/CPC), or Associate's Degree in Health Information Management (RHIT), or Bachelor's Degree in Health Information Management (RHIA).Non-Certified Level: High School graduate or equivalent or RHIT eligible or RHIA eligible.ExperienceCertified Level: Credentials (RHIA, RHIT, CCS, or CPC) may be substituted for previous coding (ICD-9 and/or ICD-10 and CPT) experience.Non-Certified Level: Minimum of one year coding experience in ICD-9 and/or ICD-10 and CPT required. Graduate of an approved Health Information Management program may be substituted for the one year of coding experience.Knowledge, Skills and AbilitiesThorough knowledge of official coding and billing guidelines, adheres to these guidelines and ensure that coding and billing practices for services are according to the laws, regulations, and guidelines that govern compliance. This is to avoid any claim of fraud or abuse in coding and billing practices.Follows AHIMA's Standard of Ethical Coding.Thorough knowledge of Diagnostic Related Groups (DRGs) and Grouper Logic and Ambulatory Payment Classifications (APCs).Thorough knowledge of rules and regulations of coding and billing compliance.Excellent communication skills are required to work with physicians, nurses, and Care Management team.Thorough knowledge of JCAHO requirements, PRO regulations, inpatient and outpatient billing requirements, and Medical Record Committee Rules and Regulations.Ability to read medical records accurately.Ability to use routine computer software applications.Ability to use specialized computer software and related resources to research, retrieve, manipulate, and upload electronic data.Thorough knowledge of anatomy and physiology, medical terminology, disease processes, operative procedures, coding changes and DRG changes.Ability to make excellent decisions and uses independent judgement.Demonstrated analytical abilities required to accurately assign correct DRG.Must be able to work independently, prioritize tasks, problem-solve, and meet deadlines. Must be knowledgeable of University Hospital policies and procedures.Physical DemandsAbility to view computerized images for long periods of time. Manual dexterity to enter data and retrieve data from computer. Ability to communicate verbally and in writing. Ability to sit long periods of time.
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Department7750 - Health Information Services