Certified Hospital Based Surgery Coder

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Position Summary

• Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits.
• Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound). Principal Accountabilities
• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education
• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification
• Required: o RHIA, RHIT, or CCS (hospital) o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) Experience and Skills
• Hospital & Provider Based: o RHIA, RHIT, CCS – None.
• Provider Based: o CCS-P, CCA, or CPC – 3 years procedural coding required. Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds Role Specific Responsibilities o Follows all coding policies, procedures, standard operating procedures o Effectively uses encoding software and reference materials to assign appropriate codes. o Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines. o Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines o Reviews coding edits and accurately resolves so encounter can be sent to claims. o Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding. o Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity o Performs work que duties as assigned by Coding Lead/Supervisor/Manager. o Maintains coding quality and productivity standards o Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required. o Maintains required CEU’s Compensation (Commensurate with experience): $24.12 - $37.39 To access our Benefits Guide/Plan Information, please click the link below: Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. At Southern Illinois Healthcare, we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees. Working to put the right people, exhibiting the right attitude and behaviors, in the right roles is not just a goal, but a priority of Southern Illinois Healthcare. For the health of you and our patients, SIH and SIH Medical Group campuses are tobacco free. For questions or more information about our openings, please email SIH Careers. SIH is an Equal Opportunity Employer including individuals with disabilities and protected veterans. We are excited you are here and are proud to offer experiential learning opportunities for students at every stage of career development. As a student at SIH, you will see first-hand how the work we are doing supports OUR MISSION: to improve the health and well-being of all the people in the communities we serve. Your future is bright, and we are honored that you chose SIH to be part of your career journey. Click here to learn more. The SIH Scholarship Program brings together college scholarship money with hands-on work opportunities. Qualified applicants are eligible for money to cover tuition, lab fees, books, and educational supplies. Please click here to learn more about SIH Scholarship Programs. Begin a rewarding career in healthcare as a Phlebotomy Technician! The SIH Phlebotomy Program allows you to begin working in as few as nine weeks! Click here for more information.