Catholic Health Initiatives Coder I - Cath Lab Joint Venture(Days) Full-Time in HOUSTON, Texas

Coder I - Cath Lab Joint Venture(Days) Full-Time

Description

Catholic Health Initiatives St. Luke's Health is a health

system located in the Greater Houston area. It is a part of one of the largest

health systems and the second largest faith-based health system in the United

States. CHI St. Luke's Health's facilities

have been recognized as some of the best in the nation. CHI St. Luke's Health–Baylor St. Luke’s Medical Center is a

nationally recognized leader in medical research and treatment, and has given

rise to powerful breakthroughs in heart, neuroscience, cancer, and

transplantation.

Review

clinical documentation and diagnostic results to extract data and apply

appropriate international classification system (ICD-9. CM and/or ICD-10. CM)

and CPT (Current Procedural Terminology) codes to multiple categories of

outpatient records in a multi-hospital system. Utilize critical thinking skills

in evaluating medical necessity in regulatory policies. Apply knowledge of

official coding guidelines and other regulatory guidelines. Outpatient

coding is performed for billing/reimbursement, statistical purposes, internal

and external data collection, research and regulatory compliance, and to assist

in determining medical necessity of tests being ordered.

Qualifications

Education:

High

School Diploma/GED Required

Minimum Experience:

One

(1) year of outpatient coding experience

Minimum Knowledge,Skills, and Abilities:

Must

have thorough knowledge of medical terminology, anatomy and physiology

PositionResponsibilities:

1.

Translates

the clinical care of the patient into a coded format for diagnoses, treatments

and procedures on ancillary, emergency room, series and other outpatients

according to the appropriate international classification system (ICD-9. CM

and/or ICD-10. CM) and/or CPT (Current Procedural Terminology) for final

billing and/or medical necessity checking, abstracting data when required

according to encounter type. may be Responsible for any of the following

Functions:

2.

Utilizes

technical coding principles and APC reimbursement expertise to assign identify,

abstract, sequence and code (utilizing ICD-9. CM and/or ICD-10. CM and CPT-4.

principal and secondary diagnoses and procedures, and discharge disposition

from Emergency Room records, outpatients and series accounts according to

Department procedures and coding guidelines.

3.

Enters

information into the medical necessity software for Medicare outpatients to

determine if tests ordered are medically necessary based on the diagnoses given

by the physician.

4.

Follows

coding compliance policies, official coding guidelines, regulatory requirements

and internal coding guidelines affecting the coding process.

5.

Abides

by the Standards of Ethical Coding as set forth by the American Health

Information Management Association (AHIMA) and adheres to official coding

guidelines.

6.

Adheres

to all St. Luke’s policies, procedures, and standards, within budgetary

specifications, including time managements, supply management, productivity and

accuracy of practice.

7.

Supports

department-based goals which contribute to the success of the organization.

8.

Communicates

with physicians in writing and/or verbally regarding clarification of clinical

documentation.

9.

Promotes

individual professional growth and development by meeting requirements for

mandatory and continuing education

Job Administrative and Clerical

Primary Location TEXAS-HOUSTON-6620 MAIN BUILDING

Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required Occasional

Req ID: 2017-R0130009