Job Description

Health Information Management Coding Specialist III

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

8700 Health Information Mgmt Responsible for translating healthcare providers' diagnostic and procedural phrases into coded form. Coding professionals do this by reviewing and analyzing health records to identify relevant diagnoses and procedures for distinct patient encounters. The coding function is the primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, and regulations. The HIM Coding Specialist III will be responsible for coding cases, both outpatient and inpatient, of greater difficulty and requiring greater skill/knowledge than that of an HIM Coding Specialist I or II.

Qualification

License/Certification Required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) from the American Health Information Management Association (AHIMA); or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC)

Education Required: High School diploma or equivalent

Preferred: Associate's degree

Completion of coding training to include anatomy and physiology, medical terminology, basic ICD 10-CM/PCS diagnostic/procedural and basic CPT coding.

Experience Required: At least three years of coding experience coding both outpatient and inpatient accounts. If assigned to a specialty: at least five years of coding experience coding both outpatient and inpatient accounts for specialized area. Preferred: Three or more years of acute coding experience.

Knowledge/Skills/Abilities

Ability to operate a codefinder.

Job Responsibilities

Essential Codes and abstracts principal diagnoses, complications, co-morbid conditions and procedures for both outpatient and inpatient encounters and enters data into hospital information system. Ensures that codes are supported by medical record documentation. Queries medical practitioners as necessary. Ensures that DRGs reflect patient severity. Prioritizes outpatient and inpatient coding and abstracting responsibilities so that coding is kept current. Collaborates with Clinical Documentation Staff and follows query processes to ensure that documentation is clear and supports diagnoses listed. Assists with quality assurance functions through focused review of pre-designated DRGs. Establish and implement new policies and procedures for the quality assurance process. Reviews and processes denial records by agreeing or appealing coding change. Provides the Utilization Review, Compliance, and/or the Coding Manager with necessary documentation to complete the appeal process. Maintains coding proficiency through self-directed continuing education. Maintains knowledge of current trends, updates and changes in coding policy and procedure. Assists with training and in-service for new coders in proper coding procedure. Answers coding questions and provides in-service to other employees, departments and physician offices. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Performs other duties as assigned.

Pay Range

$29.58 -$44.38

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

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