Desert Regional Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.
GENERAL DUTIES:
Provides superior customer satisfaction (the customer defined as a patient, physician, hospital employee or representative for an outside agency), ensuring the highest quality of care and services. Provides the hospital with the necessary support and management of information as it pertains to all facets of the responsibilities within the Health Information Management Department and all related activities generated from the medical record department to maintain compliance with TJC, Title 22 and all other regulating agencies. Access to all Patient Health Information
Able to code all Medicare and outpatient surgeries with CPT codes and modifiers with accuracy rate of 95% or higher. Productivity Expectations are as follows: (based on an 8-hour day)
DEPARTMENT SPECIFIC DUTIES:
- Complies with established departmental policies and procedures, objectives, safety, environmental and infection control standards.
- Utilizes and demonstrates skills/knowledge to communicate with and deliver assistance to adult, geriatric and pediatric patients as needed.
- Orients, instructs and trains assigned personnel and volunteers.
- Cooperates with other personnel to achieve department objectives and maintain good employee relations, interdepartmental objectives, and infection control policies.
- Consistently demonstrates a professional and proactive attitude and actions in all interfaces with employees, hospital staff and physicians as well as patients.
- Provides for privacy and patient/employee dignity by maintaining employee/patient and departmental confidentiality with no infractions.
- Promotes personalized care and attention by complying with appropriate hospital/departmental dress code, wearing nametags and introducing themselves to employees, patients and others.
- Answers phone and respond to verbal requests in a timely manner. Phones with in three rings and response to verbal requests within 30 minutes.
- Codes and abstracts all medical records for the purpose of reimbursement and research. Coding complies with federal regulations according to diagnoses, operations and procedures using ICD-9-CM and CPT codes.
- Accurately codes ED and OP registrations maintaining a 95% accuracy rate.
- Daily assures that all codes are entered into the AS400 System and runs SMART on a daily basis.
- Reviews monitoring reports to assure that there are no outstanding accounts awaiting final diagnosis.
- Serves as a liaison between medical records and the business offices of the hospital and the physician offices regarding any coding questions or discrepancies.
- Assists in training in coding.
- Responsible for continuing education and completion of lessons in EDUCODE.
- Is always responsible for the maintenance of timely coding.
- Responsible for clerical functions in the absence of clerical support.
- Performs other related duties as assigned or requested.
- Understands HIPAA, privacy and confidentiality and demonstrates minimum necessary standard according to position
POSITION QUALIFICATIONS:
Required:
Minimum Education: High School equivalent, coding classes. Medical terminology, anatomy and physiology classes completed and passed.
Minimum Experience: Previous coding in an acute care facility.
Required Course (s) Training: Coding, medical terminology and anatomy
Required Certification: Certified Coding Specialist Certificate preferred, not required.
Skills-Machines: Basic computer data entry and retrieval, phones, faxes, photocopier, PC systems, calculator, proficient on 3M coding program.
Skills-Administrative: Answers phones, interacts with physicians, other hospital employees and administration. Offers direction to patients upon request. Interprets physician writing and progress notes in order to establish other co-morbid conditions, which may influence reimbursement.
Conditions: Noisy, hectic, multiple interruptions, often resetting priorities, must work well with various time deadlines simultaneously
Pay Range: $27.11 - $36.43
Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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