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Hancock Regional Hospital
Greenfield, Indiana, United States (remote)
2 days ago
Methodist Medical Group
UF Health Shands Hospital
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1 - 11 Results of 11
Hancock Regional Hospital
Greenfield, Indiana, United States
(remote)
2 days ago
Job Type
Full-Time
Job Duration
Indefinite
Work Setting
Hospital/ Health System
Min Experience
2-3 Years
Min Education
H.S. Diploma/Equivalent
Required Travel
None
Salary - Type
Hourly Wage
Job Function
Coding

Description

DEPARTMENT: HEALTH INFORMATION SERVICES DEPARTMENT CODE: 7180
JOB TITLE: CODER/ABSTRACTOR II - HOME ENV JOB CODE: 539
REPORTS TO: DIRECTOR - HEALTH INFORMATION SERVICES
SUPERVISES: No supervisory role. A supervisor is responsible for direction of
associates' workflow, conducting performance appraisals, and has hiring and termination
decision-making abilities.
OVERTIME ELIGIBILITY: Hourly (non-exempt)
OSHA CLASSIFICATION: OSHA Category III - employee is not required to perform
tasks that may result in occupational exposure.
OSHA RESPIRATORY CLASSIFICATION: OSHA Respiratory Category III - employee
is not required to enter isolated patient rooms.
CAREGIVER STATUS: Not a Caregiver. A Caregiver is an employee who provides
direct patient care, hands-on care, or has skin-to-skin contact with patients.
JOB SUMMARY: Abstracts clinical information from medical records. Assigns
appropriate ICD-10-CM and CPT-4 codes.
EFFECTIVE DATE: 04/26/2021
QUALIFICATIONS:
JOB SPECIFIC CORE COMPETENCIES:
• Aptitude for detail and accuracy.
• Ability to work unsupervised.
• Ability to abstract relevant clinical and demographic information from the medical
record for highest specificity of coding and reimbursement purposes.
• Has a good foundation of ICD-10-CM and CPT-4 coding and reimbursement
guidelines.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
• Assigns ICD-10-CM and CPT-4 codes in accordance with coding and
reimbursement guidelines including, but not limited to, the following:
o Identifies principal and secondary diagnoses and procedures based upon
UHDDS standards.
o Uses seventh character and sequencing conventions.
o Documentation is present to substantiate codes assigned.
• Abstracts relevant clinical and demographic information from the medical record.

• Serves as a coding resource for Patient Financial Services.
• Refers coding and system questions to the Director/Supervisor in a timely
manner for determination and guideline development.
• Assists in abstracting of data for selected studies when applicable
• Keeps current on coding guidelines, rules and regulations, and new codes.
• Remote coding agreement signed and approved by Director.
• Other duties as assigned.
EXPECTED BEHAVIORS:
• Accuracy:
o Accurately codes all diagnoses and procedures measured by Coding
Quality Audits.
o 97 percent of all records for which the associate is responsible for must
be coded accurately to maximize DRG/APC weight.
• Productivity Level:
o Laboratory/Radiology coding: 2 minutes/record;
o Provider Office Visits: 2 minutes/record;
o Recurring Patient Visits: 3 minutes/record;
o ED/Urgent Care coding: 5 minutes/record;
o Recurring Oncology: 5 minutes/record.
• Productivity Calculation:
o Laboratory/Radiology coding: 2 mins/record x__________charts
o Provider Office coding 2 mins/record x __________charts;
o RCR coding: 3 mins/record x__________ charts;
o ED/Urgent Care coding: 5 mins/record __________charts;
o Recurring Oncology: 5 mins/record x __________.
o Using productivity levels above, calculate hours produced and divide by
hours worked. 95 - 100 percent – 2; 80 - 94.99 percent - 1; <80 percent -
0;
• Abstracted information and codes are accurately keyed into the computer
abstracting system. 97-100 percent – 2; 90-96.99 percent – 1; <90 percent – 0.
o Coded accounts are monitored to assure required fields for each patient
type are consistent and complete.
o Corrects appropriate coding and abstracting discrepancies.
o Assists Patient Financial Services in clarification of coding vs.
reimbursement issues.
• Seeks assistance only after referring to own resources.
• Keys abstracted information for selected studies.
• Confirms completion date/time for data entry and reports.
• Assures accuracy of all abstracted information.
• Generates reports as requested.
• Demonstrates ability to embrace and adapt to change.
• Regularly initiates ideas to improve the efficiency and processes of the
department in a positive and productive manner by attending at least 90 percent
of monthly departmental meetings.
• Keeps current on coding guidelines, rules and regulations, and new codes.
• Maintains productivity and accuracy standards in order to continue remote coding priveliges.



Requirements

CERTIFICATION/LICENSE: Cert Professional Coder (CPC); Med Coder (CPC, RHIT);
Registered Health Info Admin (RHIA); Registered Health Info Tech (RHIT)
ADDITIONAL LICENSURE/CREDENTIAL REQUIREMENTS: Certified Professional
Coder (CPC) Certified Coding Associate (CCA) Certified Clinical Coder (CCS)
Registered Health Information Technician (RHIT) or Registered Health Information
Administration (RHIA).

ADDITIONAL EDUCATION AND EXPERIENCE REQUIREMENTS:
• Working knowledge of the ICD-10-CM and CPT-4 coding systems, medical
terminology, anatomy and physiology.
• Experience in computer operations.
• A minimum of two (2) years hospital coding experience or equivalent.
• Types accurately at least 30 WPM.
• Mandatory Continuing Education: Customer Service, Fire and Safety, Corporate
Compliance (including Confidentiality), Infection Control, and education required
by regulatory, accreditation bodies, scope of practice, and/or Hancock Regional
Hospital.
WORK CONDITIONS
PHYSICAL/MENTAL DEMANDS:
• Occasional standing, pushing, pulling or carrying.
• Frequent walking,
• Hearing requirements include but are not limited to hearing and responding to
pagers, phones, and patients/customers requesting assistance,
• Manual dexterity for typing, page counting, etc.
• Vision requirements include but are not limited to close vision, distant vision,
peripheral vision, and ability to adjust focus.
• Greater than 50% of work day sitting to perform computer-based tasks including
coding and abstracting of hospital accounts.
EQUIPMENT USED: Computer. Working knowledge of 3M Health Information Systems
encoder. There must be a telephone line available for work-related contact. The area
must be equipped with a working fire detector and fire extinguisher.

ENVIRONMENTAL CONDITIONS:
• Ability to analyze medical information and assign appropriate codes.
• Ability to maintain composure in stressful situations.
• Home inspection of work environment.
• Associate must have a private work area conforming to safety standards.
• No one under the age of 12 can be in the home during scheduled work hours
without another adult to supervise.

PRIMARY CONTACT WITH THE FOLLOWING AGE GROUP(S):
NEONATAL/INFANT (0-12 MO)
PEDIATRIC (1-12 YRS)
ADOLESCENT (13-17 YRS)
ADULT (18-64 YRS)
GERIATRIC (65+ YRS)

Job ID: 74301806
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