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Clinical Coding IV/Acute Care

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Date: Feb 17, 2017

Location: Charlotte, NC, US, 28273

Company: Carolinas HealthCare System

Job Req ID: 113240

Position Number: 00160018

Employment Type: Full Time

Shift: Variable/On Call

Shift Details:

Standard Hours: 40.00

Department Name: Medical Records Coding

Location: CHS Corporate Operations

Location Details:  Arrowpoint

 

 

 

Job Summary
Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits. Code and abstract medical records of high complexity within the CHS Primary Enterprise acute care facilities.

Essential Functions
  • Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
  • Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
  • Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
  • Reviews charges and Evaluation and Management levels.
  • Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
  • Abstracts coded data and other pertinent fields in the hospital electronic health record.
  • Ensures the accuracy of data input.
  • Meets established quality and productivity standards.
  • Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management.
  • Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Physical Requirements
Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.

Education, Experience and Certifications.
High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test.

 

At Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.

 

As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.

 

Posting Notes: Not Applicable

Carolinas HealthCare System is an EOE/AA Employer


Nearest Major Market: Charlotte

Job Segment: Clinic, Medical, Physiology, Mainframe, Law, Healthcare, Technology, Legal

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