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Job Overview:
Abstract codes and assigns both ICD-10-CM and CPT codes provider documentation based on official coding guidelines and regulations provided by government and insurance carriers. Provides coding expertise to outside departments to assist in proper coding and billing. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff.
This work from home position requires the team member to reside in the Greater Cincinnati area. No applicants outside of this area will be considered
Job Requirements:
High School Degree or GED
Equivalent experience accepted in lieu of degree
CPC, CCS-P, RHIA, RHIT, CCA, and any applicable dual certification
3-4 years experience in a related field, concentration in professional auditing or coding
Job Responsibilities:
Other job-related information:
Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Cross coverage of two or more specialties based on business need. Expert knowledge of ICD-10-CM and CPT coding. Expert knowledge and understanding of anatomy, physiology, medical terminology, and pathophysiology (disease process, surgical terminology and pharmacology) and can apply these sciences to accurately assign codes to complex cases. Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Ability to work with a high degree of accuracy and give attention to detail of the repetitive nature. Ability to work independently, takes initiative, and work collaboratively with others. Ability to audit and score Evaluation and Management Services. Ability to meet deadlines while working in a fast-paced environment, and to exercise independent judgment. Able to work independently in a remote setting, with little supervision. Maintains and exceeds departmental coding quality and productivity standards on a rolling calendar year.
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting <10 Lbs - Rarely
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Occasionally
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Occasionally
Visual Acuity: Far - Frequently
Visual Acuity: Near - Frequently
Walking - Occasionally
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community |
