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Blanchard Valley Medical Practices - Coding Specialist II (40 hrs/wk.) in Findlay, OH at Blanchard Valley Health System

Date Posted: 11/7/2018

Job Snapshot

  • Employment Status:
    BVMP - Administration
  • Location:
    Findlay, OH
  • Shift
  • Date Posted:
    11/7/2018
  • Requisition ID:
    5727

Job Description

PURPOSE OF THIS POSITION

The quality of work produced by the Coding Specialists is critical to the success of BVMP as the coded data represents the organization for a variety of purposes. Translation of clinical documentation into coded data must be an accurate and complete representation of the patient’s episode of care, which affects quality scores, hospital, and physician profiling, appropriate reimbursement, statistical data reporting and mitigation of compliance risks. 

The purpose of the BVMP Coding Specialist II is to assign diagnosis and procedure codes to patient accounts utilizing ICD and/or CPT classification systems, as appropriate. The primary focus of this position is to code Same Day Surgery, Observation, Specialty (at least two of three) and may include In-Patient accounts. Proficiency is required in coding Emergency Department, Outpatient Clinicals (Ancillary and/or Professional) accounts as workload requires. Other responsibilities also include abstracting of accounts, resolving claim edits, researching coding issues, querying the physician, and being an active participant on the coding team to insure the highest quality of coded data.

Blanchard Valley Medical Practices is a division of Blanchard Valley Health System, which provides a total continuum of care to more than 100,000 households in an eight-county area. The Blanchard Valley Health System mission is to provide “Caring for a lifetime.”

JOB DUTIES/RESPONSIBILITIES

Duty 1: Utilizes the Encoding system for proper assignment of all diagnosis and procedures ICD and/or CPT codes which is supported by provider documentation.  Abstracts all data required by the hospital wide information system and departmental policies.

Duty 2: Meets quality standards. Follows ethical coding practices and regulatory requirements mandated by the Federal Government, regulatory agencies and internal policies.   Actively participates in external/internal review activities and departmental education regarding coding and reimbursement. Remains current and apply regulatory/coding changes, as appropriate.

Duty 3: Assesses adequacy of documentation in order to support accurate, complete and specific code assignment of principal and all secondary diagnoses and procedures. Appropriately queries provider for clarification or additional documentation needed. Respond to inquiries regarding coding and reimbursement activities.

Duty 4: Meets departmental productivity standards. Maintains efficient and appropriate balance between coding and support functions. Submits weekly productivity reports to supervisor in a timely manner.

Duty 5: Resolves coding-related edits in a timely manner; completes tracking spreadsheet and updates to billing in edit software. Collects/tracks data for follow-up and education to insure timely coding of accounts and reporting of information, as appropriate 

Duty 6: Requests instruction on all equipment systems and software which are unfamiliar or new in order to gain optimum competency. Reports any suspected system issues to appropriate individual/department.  Reports any suspected data integrity issues, as appropriate.

Duty 7: Maintains a close working relationship with coding, clinical departments, and medical staff. Participates in departmental cross training, quality reviews, and project activities as assigned.

Duty 8: Educate new BVMP providers on accurate coding and documentation needs. Answer specialty provider’s questions regarding coding and documentation.

REQUIRED QUALIFICATIONS

  • 2-3 years prior experience or satisfactory completion of internal coding assessment required
  • Demonstrated knowledge in Medical Terminology, Anatomy & Physiology, Disease Processes/Pathophysiology, Pharmacology required
  • Demonstrated knowledge in Coding Guidelines, ICD Diagnosis and Procedure coding, CPT/HCPCS coding, CPT Assistant knowledge required
  • Coding ethics knowledge required
  • A valid driver's license is required (if you do not have a valid Ohio driver’s license you must obtain one within one year of your residency in the state) and you must also meet BVHS's company fleet policy requirements
  • Positive service-oriented interpersonal, communication (verbal and written). Strong organization and time management skills required
  • Familiarity with computers and commonly used software applications, including MS Office Suite, internet, electronic health records and encoder software/systems
  • Adherence to productivity and quality standards

PREFERRED QUALIFICATIONS

  • Prior coding experience in acute care preferred
  • CCA or CPC preferred (or eligible with completion expected during the first nine months of employment
  • Clinical Queries/ Documentation Improvement knowledge preferred (or achieved within first six months of employment)
  • Coding Clinic knowledge preferred (or achieved within 6 months of employment).
  • Knowledge in regulatory and general compliance issues, preferred (or achieved in first six months of employment)
  • Knowledge in reimbursement methodologies preferred
  • Training/mentoring capacity preferred

PHYSICAL DEMANDS

This position requires a full range of body motion with intermittent walking, lifting, bending, squatting, kneeling, twisting, sitting and standing. The associate will be required to walk for up to one and one-half hours a day, sit for seven hours and stand one-half hour intermittently. The individual must be able to lift ten pounds and reach work above the shoulders. The individual must have good eye-hand coordination and fine finger dexterity. The associate must possess excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range.