Job Description

  • Job LocationUS-AZ-PHOENIX
    Requisition ID
    2019-19658
    Shift
    01 - Days
    Department
    HIM Coding
    Facility
    Support Services
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    2500 W UTOPIA
    Work Hours
    8A - 4:30 P
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.

    Qualifications

    Education
    High School Diploma or GED Required

    Experience
    Three (3) years outpatient coding experience and the ability to code and review the following patient types: ambulatory surgery, observation, outpatient services (diagnostic), and emergency Department. Required

    Licenses and Certifications
    One or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder Hospital Outpatient (CPC-H), Registered Health Information Tech (RHIT), or Registered Health Information Administrator (RHIA) Required

    Responsibilities

    Job Summary
    The Outpatient Coding Auditor is responsible for performing in-depth review of select outpatient services, observation, ambulatory surgery, and emergency department medical records to ensure that the assigned codes are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity. In addition, the Outpatient Coding Auditor performs documentation assessments and reviews for accurate abstracting of clinical data to meet regulatory and compliance requirements.
    • Performs quality reviews of coded outpatient encounters to validate the assigned codes. Provides ongoing individual feedback to the coder as applicable and keeps supervisor informed of these activities.
    • Mentors new coders and cross trains other coders. Provides ongoing feedback and education to coding staff.
    • Assigns and sequences ICD-10-CM, ICD-10-PCS,CPT, and HCPCs diagnostics and procedural codes for designated patient types which may include outpatient services, observation, ambulatory surgery, and emergency department records for billing and reimbursement. Utilizes Medicare and American Medical Association (AMA) coding guidelines.
    • Reviews physician documentation and coding for appropriateness and accuracy, and makes corrections following Medicare and American Medical Association (AMA) coding guidelines. Reviews accounts for correct assignment of present on admission (POA) requirement.
    • Assist Patient Financial Services (PFS) with interpretation and selection of appropriate ICD, CPT, and HCPCs codes and other information requested for accurate billing and reimbursement. Possess knowledge and understanding of failed bill parameters. Effective use of 3rd party software (encoder and coding review) to review/obtain coding and patient data (lab, radiology, pathology, transcription) Completes monthly coding reports on individual accuracy and efficiency statistical reports and provides them to supervisor. .
    • Provides ongoing and individual feedback to the coder as applicable and keeps supervisor informed of these activities. Participates in department meetings and assists in conveying coding tips and education to staff as requested.
    • Participates and assists with the denials process and assigned special projects. Addresses National Correct Coding Initiative (NCCI) edits, Outpatient Code Edits (OCE), and Local Coverage Determinations (LCD) edits, and other applicable coding edits.
    • Participates in continuing education activities to enhance knowledge, skills and keep credentials current.
    • Performs other duties as assigned.



    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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